Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Geriatric Medicine Boards > Preventative Care > Flashcards

Preventative Care Flashcards

1
Q

Ages for breast cancer screening.

A

Women: 50-74

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How frequently should women be screened with mammography?

A

every 2 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Time to benefit for mammography to prevent 1 breast cancer death per 1000 screened.

A

10 years (so insufficient evidence for mammograms after 75)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ages for cervical cancer screening.

A

Women: 21-65

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is adequate prior screening for cervical cancer?

A

-Three consecutive negative cytology results (q3y)
-Two consecutive negative HPV results (q5y)
Within 10 years before cessation of screening AND most recent test within 5 years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What should be done for older women who have never been screened for cervical cancer?

A

Screen ever 2-5 years ending at age 70 or 75

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What women are exempt for cervical cancer screening?

A

Those s/p hysterectomy (with removal of cervix) who do not havehistory of CIN grade 2, CIN grade 3 or cervical cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What age should discussions of prostate cancer screening be done?

A

Men: 55-69

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is used for prostate cancer screening?

A

PSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the false positive rate for PSA?

A

80% when thresholds of 2.5-4 mcg/L are used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What age for CRC screening?

A

Adults 45-49 (B rec)
Adults 50-75 years old (A rec)
Adults 76-85 (C rec)
STOP over 85

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are options for CRC screening?

A

Colonoscopy every 10 years
Flex Sig q5y + FOBT q3y
CT colonography q5y
Fecal DNA q3y
FOBT or FIT every year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Follow up colonoscopy if <20 small (<10mm) hyperplastic polyps.

A

10 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Follow up colonoscopy if 1-2 adenomas <10 mm.

A

7-10 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Follow up colonoscopy if 1-2 sessile serrated polyp <10 mm.

A

5-10 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Follow up colonoscopy if 3-4 Adenomas or SSPs <10 mm.

A

3-5 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Follow up if hyperplastic polyp >10 mm.

A

3-5 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Follow up if over 10 adenomas found.

A

1 year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Follow up if adenoma or SSP >10mm

A

3 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Follow up if adenomas have villous or tubulovillous histology or high grade dysplasia.

A

3 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Follow up for serrated adenoma.

A

3 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Who is screened for lung cancer?

A

55-80 (USPSTF) with 30 pack year smoking or quit within past 15 years.
*Medicare only covers through age 74 (so stop at ages 75-80)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the only cancer screening that should be continued in those with 5 to <10 years life expectancy?

A

Lung Cancer Screening

24
Q

Who should be screened for diabetes?

A

Adults 40-70 who are overweight or obese

25
Q

Who should be screened for AAA?

A

Men 65-75 who have ever smoked (at least 100 cigarettes in lifetime)

26
Q

When should osteoporosis screening start?

A

65 for all women and 60 if high risk on FRAX

27
Q

How often does medicare cover DEXA scans?

A

every 2 years

28
Q

Should men be screened for osteoporosis?

A

USPSTF says insufficient evidence, NOF recommends all men 70 and older

29
Q

What is the time to benefit for statins for primary prevention?

A

1-2 years

30
Q

Do statins for primary prevention reduce mortality in adults over 75?

A

no, but they do modestly reduce CVD (per PROSPER, JUPITER and HOPE3)

31
Q

What age does USPSTF consider statins for primary prevention?

A

40-75

32
Q

When do patients 40-75 need a high intensity statin?

A

If LDL >190

33
Q

When do patients 40-75 always need a moderate intensity statin (at least)?

A

Diabetes

34
Q

Per USPSTF, when should primary prevention statin be considered in those 40-75?

A

Those who have 1 or more CVD risk factor (ex. HLD, DM, HTN or smoking) and 10 year risk of 10% or greater

35
Q

Who should be screened for hepatitis C?

A

All US adults born between 1945-1965 (ages 57-77 in 2022)

36
Q

Who needs primary prevention aspirin per USPSTF?

A

Adults 50-59 with >10% CVD risk

37
Q

How often should adults >65 be asked about their alcohol use?

A

yearly

38
Q

When should older adults get stress tested prior to exercise?

A

When they are starting a vigorous exercise program (ex. strenuous cycling or jogging)

39
Q

Should older adults be tested for STIs?

A

only if increased risk, but HIV testing is cost effective 1x in those 65-75

40
Q

When do PCPs perform visual acuity exams under Medicare?

A

At the initial preventive physical exam (not for the annual wellness visits)

41
Q

When do PCPs perform hearing exams under Medicare?

A

At the initial preventive physical exam and the initial AWV

42
Q

Does the USPSTF recommend screening for mistreatment in older adults?

A

no

43
Q

Which flu shot should older adults get?

A

the high dose or standard (not live attenuated intranasal)

44
Q

What is the benefit of the high dose flu vaccine?

A

reduces rate of flu by 24.2%

45
Q

To who and how should the pneumonia vaccine be administered?

A

adults 65 and older get PCV13 (congugate) followed by PPSV23

46
Q

What do you do if someone got the PPSV23 prior to age 65?

A

Give PCV13 one year after (or at age 65) and PPSV23 five years after last PPSV23 and one year after PCV13

47
Q

Who needs TDap?

A

Those older than 65 with close contact with infants <12 months

48
Q

What shingles shot should older adults get?

A

Shingrix (inactivated subunit vaccine), 2 doses 2 months apart

49
Q

What type of vaccine is zostavax?

A

live attenuated

50
Q

What if the older adult has already gotten zostavax?

A

give shingrix at least 2 months after

51
Q

What is the age for the shingles vaccine?

A

50 and older

52
Q

What is the AGS consensus on Vitamin D and calcium?

A

recommend 1000 IU/day of vitamin d and calcium 500-1200 mg/day to community dwelling older adults 65 and older to prevent falls and fractures

53
Q

What part of medicare covers flu vaccine?

A

Part B

54
Q

What part of medicare covers zoster vaccine?

A

Part D

55
Q

What part of medicare covers pneumonia vaccine?

A

Part B

Geriatric Medicine Boards (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions