Preventative Medicine-Lecture 2 Flashcards

1
Q

Should we screen our low risk adults for heart disease with EKG?

A

no, grade D

can cause harm due to variations of normal

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2
Q

Should we screen pts with no hx of CHD and no traditional risk factors for CVD?

A

no

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3
Q

USPSTF recommendation on carotid artery stenosis?

A

grade D

can be harm associated on next steps

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4
Q

USPSTF recommendation on hyperlipidemia screenign.

A

<20, insufficient evidence

Yes for those 40-75 with no CVD, those with one risk factor for CVD (Grade B)

if 76+ with no CVD< no

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5
Q

USPSTF recommendation for screening men for AAA?

A

Grade B for 65-75 who have ever smoked

Grade C for those 65-75 for those who have never smoked

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6
Q

USPSTF recommendation for screening for women for AAA?

A

No evidence 65-75 who have ever smoker

Grade D 65-75 who have never smoked

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7
Q

USPSTF recommendation for PAD?

A

insufficient evidence

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8
Q

USPSTF recommendation for ASA prophylaxis?

A

Grade B for ASA to prevent CVD and colorectal cancer
for those 50-59 if >10 yr CVD risk, not at risk for bleeding, at least 10 yr life expectancy

Grade C for those 60-69 with >10 yr CVD risk

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9
Q

CV disease risk factors

A

diet, smoking, HTN, dyslipidemia, obesity, physical activity, DM

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10
Q

USPSTF recommendation for screening for colorectal cancer?

A

Grade A= adults age 50-75

Grade C= adults 76-85

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11
Q

USPSTF recommendation for screening for Prostate cancer

A

Grade D

harm due to false positive, biopsy side effects, over treatment, bowel control problems, etc.

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12
Q

USPSTF recommendation for cervical cancer

A

screen women 21-65 years old

No HPV before 30

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13
Q

USPSTF recommendation for lung cancer

A

grade B for adults aged 55-80 with hx of smoking

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14
Q

USPSTF recommendation for skin cancer screening

A

insufficient evidence

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15
Q

USPSTF recommendation for breast cancer screening

A

Grade C: 40-49 yo

Grade B: every 2 yrs age 50-74

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16
Q

ACOG recommendation for breast cancer screening

A

every yr 40-74

17
Q

USPSTF recommendation for Chlamydia and Gonorrhea

A

Grade B: sexually active adults and adolescents

18
Q

USPSTF recommendation for Hep B screening

A

Grade A: pregnant women at first prenatal exam

Grade B: those at high risk

19
Q

USPSTF recommendation for Hep C screening?

A

Grade B: those at high risk at once for those born between 1945 and 1965

20
Q

USPSTF recommendation for HIV screening

A

Grade A: adults and adolescents 15-65, all pregnant women

21
Q

USPSTF recommendation for syphilis screening

A

Grade A: asymptomatic, non pregnant adults and adolescents at increased risk

all pregnant women

22
Q

What psychosocial health concerns do we screen for?

A

depression, substance abuse, intimate partner violence