Preventative Medicine Flashcards
Recommended breast CA screening?
Females > 50 yo; Every 1-2 years
Recommended cervical CA screening?
Females 21-65 yo; Every 3 years in low-risk patients (after 3 consecutive NML pap smears)
Contraindication to Pap smear?
HX of hysterectomy
Routine screening for ovarian CA?
Not recommended
Recommended prostate CA screening?
Men > 50 yo
When should prostate CA screening begin before 50 yo?
AA males, 1st degree relative with prostate CA
Benefit of monitoring PSA?
Useful in tracking prostate CA
Does Digital Rectal Exam reduce mortality from prostate CA?
No
Best tool for lung CA screening?
Low-dose CT
Who should be screened for lung CA with low-dose CT?
30+ pack-year HX; Smokers within past 15 years
When should Medicaid patients be screened for lung CA?
55-77 yo
When should Insurance Coverage patients be screened for lung CA?
55-80 yo
When should colon CA screening begin?
50 yo
How often should fecal occult blood testing for colon CA occur?
Every 1 year
How often should flexible sigmoidoscopy for colon CA occur?
Every 5 years
How often should colonoscopy for colon CA occur?
Every 10 years
Patient with FHX of colon CA – when should colon CA screening begin?
40 yo … colonoscopy
Patient with FHX of FAP – when should colon CA screening begin?
12 yo … sigmoidoscopy
Patient with PMHX of IBD – when should colon CA screening begin?
8 years after diagnosis … colonoscopy
Patient presents after 1st degree family member was diagnosed with colon CA – when should colon CA screening begin?
10 years prior to family member’s diagnosis
Which patients should receive the Shingles vaccine?
All patients older > 50 yo, regardless if they had chickenpox or not
Will shingles vaccine protect against genital herpes?
No
Which type of vaccine is the shingles vaccine?
Live attenuated … avoid in immunocompromised patients
Allergy to ___ is a contraindication to receiving shingles vaccine
Neomycin
Which type of vaccine is varicella vaccine?
Live attenuated … avoid in immunocompromised patients
Contraindication to varicella vaccine?
Pregnancy
How long should pregnancy be avoided after varicella dose?
1 month after dose
Concerns for TdaP vaccination during pregnancy?
TdaP = safe to give during pregnancy
Which 3 vaccinations are contraindicated in patients with egg allergy?
MMR, Influenzae, Yellow fever
In patients with Cystic Fibrosis, which vaccination is indicated – PNA or influenza?
Indicated = influenza, Not indicated = PNA
Which type of vaccine is MMR vaccine?
Live attenuated
BMI that correlates to obesity?
BMI > 30
BMI that correlates to morbid obesity?
BMI > 40
Weight loss of ___% will effectively reduce complications of obesity-related diseases and overall mortality in obesity
5-15
Is low-CHO or low-fat diet more effective in achieving weight loss?
Low-CHO diet
MOA of orlistat in achieving weight loss?
Orlistat inhibits lipase, prevents breakdown of triglycerides into absorbable free fatty acids
AE of orlistat?
GI upset
Indication for bariatric surgery?
Morbid obesity … BMI > 40
