preventative medicine

Question 1

What are preventative measures for smokers?

Answer 1

Nicotine replacement Tx
Bupropion as an adjunct
Eat at least 7 portions of green leafy fruit/veg per week to reduce risk of lung cancer
Refer to validated somking cessation programs

Question 2

What is CAGE for alcohol use disorder screening?

Answer 2

C-ever considered CUT down your drinking?
A-anyone ANNOYed you by asking you to reduce drinking?
G-ever felt GUILTY for drinking?
E-“EYE” openers?

Question 3

supplementation for women over 50?

Answer 3

calcium (1000-1500 mg/d) and VitD (800-1000IU per day)

Question 4

timeline for Pap smear?

Answer 4

25-69 yo: q 3 years

>70 yo: stop screening once 3 negative tests are obtained

Question 5

screening guideline for mammogram?

Answer 5

women age 50-74 with average risk: q2-3 years

Question 6

screening for DM?

Answer 6

starting screening at age 40 and screen every 3 years with A1C, OGTT or FPG

Question 7

colorectal cancer screening for high risk patient?

Answer 7

define high risk: personal or family history of adenoma; longstanding IBD; single 1st degree relative with Dx under 60, or >1 1st degree relatives with Dx at any age.

Colonoscopy q5years starting at 40 yo (or 10 years younger than the affected family member),

if IBD > 8 years, colonoscopy q 1-2 years

Question 8

colorectal cancer screening for average risk patient?

Answer 8

FIT/FOBT: age 50-75, q 1-2 years

colonoscopy: q 10 years

Question 9

risk factors for breast cancer?

Answer 9

age, smoke, alcohol, family history (genetic), obesity