Preventive Care Flashcards

1
Q

When should apgars be taken?

A

1-minute and 5-minute

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2
Q

What is the 1-minute apgar indicative of?

A

The intrauterine environment and the birth process

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3
Q

What is the 5-minute apgar indicative of?

A

The neonate’s success at transitioning

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4
Q

What are 3 common birth traumas?

A
  1. Cephalohematoma
  2. Caput succadaneum
  3. Fractured clavicle
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5
Q

What immunization should be administered prior to hospital discharge for newborns?

A

Hepatitis B

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6
Q

At what weeks/months of age are the intervals of infant checkups?

A

1, 2 weeks

1, 2, 4, 6, 9 months

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7
Q

When do head circumference measurements cease?

A

Age 2

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8
Q

When does BMI assessment start?

A

Age 2

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9
Q

When is routine visual acuity testing performed?

A

Ages 3, 4, 5, 6, 8, 10 years

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10
Q

When should hearing screening occur?

A

Newborn, 4, 5, 6, 8, 10 years

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11
Q

When does autism screening occur?

A

18, 24 months

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12
Q

At what age does BP screening start?

A

Age 3 years

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13
Q

When does anemia screening occur for kids?

A

At age 12 months

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14
Q

When does lead screening occur for kids?

A

At age 12 months

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15
Q

When can fluoride supplementation begin?

A

Age 6 months

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16
Q

Is TB screening always necessary at 12 months?

A

No, only if at high risk

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17
Q

At what adolescent ages should eyes be tested?

A

Ages 12, 15, 18

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18
Q

Do adolescents need hearing screens?

A

Only if risk assessment indicates

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19
Q

When should adolescents get their first lipid screening?

A

Between ages 18-21

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20
Q

T/F: all adolescents should be confidentially screened once for HIV between ages 16-18?

A

True

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21
Q

When should sexually active adolescents be screened for chlamydia and gonorrhea?

A

Annually

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22
Q

How frequently should Td be given?

A

Every 10 years

23
Q

How frequently should Tdap be given?

A

Replace one adult Td with a Tdap booster

24
Q

When should the 23-valent (Pneumovax) be given?

A

Age 65+

25
Q

When should the 13-valent conjugate (Prevnar) be given?

A

Age 65+ (this one goes first; separate from the Pneumovax by 1 year)

26
Q

When should the shingles (Zostavax) vaccine be given?

A

Age 60+

27
Q

When should AAA screening occur?

A

Once by US for men aged 65-75 years who have ever smoked

28
Q

When should mammograms occur?

A

Age 50-74 every 2 years

29
Q

When should aspirin be given for cardiovascular disease prevention?

A

Age 50-59 years and a 10-year CVD risk 10%+

30
Q

When should statin therapy be given?

A

One or more CVD risk factors; usually starting age 40

31
Q

Is carotid artery stenosis screening recommended for asymptomatic individuals?

A

No

32
Q

Is carotid artery stenosis screening recommended for asymptomatic individuals?

A

No

33
Q

When is pap smear recommended?

A

Age 21-65, with cytology every 3 years

34
Q

How often can women age 30-65 push pap smears?

A

Every 5 years with both cytology and HPV testing

35
Q

When should chlamydia screening occur?

A

All sexually active nonpregnant women age 24 and younger

36
Q

When should pregnant women be screened for chlamydia?

A

Age 24 and younger, or if at high risk

37
Q

Should men be tested for chlamydia?

A

Insufficient evidence

38
Q

When should FOBT occur?

A

Yearly age 50-75

39
Q

When should sigmoidoscopy occur?

A

Every 5 years age 50-75

40
Q

When should colonoscopy occur?

A

Every 10 years age 50-75 (every 5 if polyps found)

41
Q

When should T2DM screening occur?

A

Adults with BP higher than 135/80 if age 40-70 and overweight, or overweight/obese adults (ADA)

42
Q

When should exercise/PT and vitamin D supplementation occur?

A

Adults age 65+ at risk of falls

43
Q

When should exercise/PT and vitamin D supplementation occur?

A

Adults age 65+ at risk of falls

44
Q

When should gonorrhea screening occur?

A

All sexually active women deemed high risk

45
Q

When should HIV testing occur?

A

Ages 18-45

46
Q

When should lipid screening occur?

A

Age 40-75 with 1 or more CVD risk factors such as dyslipidemia, DM, HTN, or smoking

47
Q

When does CT for lung cancer occur?

A

Adults age 55-80 with a 30+ pack year history or if they quit within the past 15 years

48
Q

When should osteoporosis screening occur?

A

Women age 65+ or younger women with risks

49
Q

What’s the most important part of the preparticipation physical?

A

The history

50
Q

HOCM murmur is ______ when standing and ______ when squatting?

A

Louder when standing

Softer when squatting

51
Q

What risk category are the following surgeries:

  • breast
  • dental
  • endocrine
  • eye
  • gynecologic
  • minor orthopedic
  • minor urologic
A

Low risk (<1%)

52
Q

What risk categories are the following surgeries:

  • abdominal
  • carotid
  • peripheral arterial angioplasty
  • endovascular aneurysm repair
  • head and neck
  • hip and spine repair
A

Intermediate risk (1-5%)

53
Q

What risk categories are the following surgeries:

  • aortic and major vascular
  • peripheral vascular
A

High risk (>5%)

54
Q

When is the first dose of varicella recommended?

A

12 months