Preventative Medicine Flashcards

1
Q

Recommended breast CA screening?

A

Females > 50 yo; Every 1-2 years

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2
Q

Recommended cervical CA screening?

A

Females 21-65 yo; Every 3 years in low-risk patients (after 3 consecutive NML pap smears)

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3
Q

Contraindication to Pap smear?

A

HX of hysterectomy

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4
Q

Routine screening for ovarian CA?

A

Not recommended

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5
Q

Recommended prostate CA screening?

A

Men > 50 yo

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6
Q

When should prostate CA screening begin before 50 yo?

A

AA males, 1st degree relative with prostate CA

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7
Q

Benefit of monitoring PSA?

A

Useful in tracking prostate CA

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8
Q

Does Digital Rectal Exam reduce mortality from prostate CA?

A

No

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9
Q

Best tool for lung CA screening?

A

Low-dose CT

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10
Q

Who should be screened for lung CA with low-dose CT?

A

30+ pack-year HX; Smokers within past 15 years

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11
Q

When should Medicaid patients be screened for lung CA?

A

55-77 yo

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12
Q

When should Insurance Coverage patients be screened for lung CA?

A

55-80 yo

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13
Q

When should colon CA screening begin?

A

50 yo

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14
Q

How often should fecal occult blood testing for colon CA occur?

A

Every 1 year

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15
Q

How often should flexible sigmoidoscopy for colon CA occur?

A

Every 5 years

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16
Q

How often should colonoscopy for colon CA occur?

A

Every 10 years

17
Q

Patient with FHX of colon CA – when should colon CA screening begin?

A

40 yo … colonoscopy

18
Q

Patient with FHX of FAP – when should colon CA screening begin?

A

12 yo … sigmoidoscopy

19
Q

Patient with PMHX of IBD – when should colon CA screening begin?

A

8 years after diagnosis … colonoscopy

20
Q

Patient presents after 1st degree family member was diagnosed with colon CA – when should colon CA screening begin?

A

10 years prior to family member’s diagnosis

21
Q

Which patients should receive the Shingles vaccine?

A

All patients older > 50 yo, regardless if they had chickenpox or not

22
Q

Will shingles vaccine protect against genital herpes?

A

No

23
Q

Which type of vaccine is the shingles vaccine?

A

Live attenuated … avoid in immunocompromised patients

24
Q

Allergy to ___ is a contraindication to receiving shingles vaccine

A

Neomycin

25
Q

Which type of vaccine is varicella vaccine?

A

Live attenuated … avoid in immunocompromised patients

26
Q

Contraindication to varicella vaccine?

A

Pregnancy

27
Q

How long should pregnancy be avoided after varicella dose?

A

1 month after dose

28
Q

Concerns for TdaP vaccination during pregnancy?

A

TdaP = safe to give during pregnancy

29
Q

Which 3 vaccinations are contraindicated in patients with egg allergy?

A

MMR, Influenzae, Yellow fever

30
Q

In patients with Cystic Fibrosis, which vaccination is indicated – PNA or influenza?

A

Indicated = influenza, Not indicated = PNA

31
Q

Which type of vaccine is MMR vaccine?

A

Live attenuated

32
Q

BMI that correlates to obesity?

A

BMI > 30

33
Q

BMI that correlates to morbid obesity?

A

BMI > 40

34
Q

Weight loss of ___% will effectively reduce complications of obesity-related diseases and overall mortality in obesity

A

5-15

35
Q

Is low-CHO or low-fat diet more effective in achieving weight loss?

A

Low-CHO diet

36
Q

MOA of orlistat in achieving weight loss?

A

Orlistat inhibits lipase, prevents breakdown of triglycerides into absorbable free fatty acids

37
Q

AE of orlistat?

A

GI upset

38
Q

Indication for bariatric surgery?

A

Morbid obesity … BMI > 40