Preventative Care Flashcards

1
Q

GC/Chlamydia Screening

A

Annual testing Age 15-25
Screen > 25 if high risk

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2
Q

Diabetes screening

A

Age 35, repeat Q3 years if normal

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3
Q

Hyperlipidemia screening

A

Lipid panel Age 45
Repeat Q5 years if normal
Repeat Q3 if abnormal but no treatment

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4
Q

What age should someone recieve the shingles vaccine?

A

Age 50

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5
Q

Who qualifies for a yearly low dose CT scan? What age does this start?

A

Age 55 current smoker OR
20 pack year hx & quit < 15 years ago

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6
Q

Age of shingles vaccine?

A

Age 50

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7
Q

Mammogram Screening

A

Annually starting at age 40

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8
Q

Earliest age for HPV vaccine?

A

Age 9
Only needs 2 doses (0, 6m)

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9
Q

What age is 3 doses of the HPV vaccine needed?

A

Age 15 (0, 2, 6m)

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10
Q

DEXA screening

A

Start at age 65, repeat every 2-8 years if normal

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11
Q

When should you offer DEXA screening younger than age 65?

A

Postmenopausal + FRAX score > 8.4%

8.4% is the risk of someone at age 65 (thus they should be screened!)

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12
Q

Recommended supplementation/dosing?

A

Calcium 1,200 mg/day
Vit D 600 IU/day

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13
Q

How to screen if a patient is ready to quit smoking?

A

5As

Ask about smoking
Advise to quit
Assess willingness to quit
Assist with techniques
Arrange follow-up

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14
Q

How do you assess for IPV?

A

HITS

Hurt
Insult
Thraten
Scream

**single question used routinely on self-screening/intake form

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15
Q

How do you define alcohol use disorder/screen for it?

A

Drinkg > 7 days/week or > 3 drinks/night

TACE
Tolerance
Annoyed
Cut down
Eyeopener

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16
Q

Treatment options for smoking cessation?

A

Nicotine replacement (gum, patch, lozenge)
Varenicline (Chantix)- 12 wks (start 1 week prior to quit date)
Bupropion SR (Wellbutrin)- 12 wks (start 1 week prior to quit date)

17
Q

Risks of smoking from gyn perspective?

A

Increase in ectopic (affects cilia)
Increase in HPV associated cancers/abnormal pap smears
Diminished ovarian reserve/earlier menopause
Decreased fertility
Increased risk of osteoporosis
Increased risk in ovarian cancer (mucinous type)
Increased risk in Type 2 uterine cancer

18
Q

Risks of smoking in OB setting

A

Miscarriage/IUFD
Growth restriction
Preterm birth
Abruption
Cleft lip/palate
SIDS
Reactive airway disease/asthma

19
Q

BiRADs

A

0 Incomplete
1 negative
2 benign
3 likely benign
4 suspicious
5 highly suspicious
6 known malignancy

*Don’t recommend additional testing based on density. Lack of data to show benefit. Dense breasts do have highter rates of cancer, but no increased risk of death