Preventive Care Flashcards
When should apgars be taken?
1-minute and 5-minute
What is the 1-minute apgar indicative of?
The intrauterine environment and the birth process
What is the 5-minute apgar indicative of?
The neonate’s success at transitioning
What are 3 common birth traumas?
- Cephalohematoma
- Caput succadaneum
- Fractured clavicle
What immunization should be administered prior to hospital discharge for newborns?
Hepatitis B
At what weeks/months of age are the intervals of infant checkups?
1, 2 weeks
1, 2, 4, 6, 9 months
When do head circumference measurements cease?
Age 2
When does BMI assessment start?
Age 2
When is routine visual acuity testing performed?
Ages 3, 4, 5, 6, 8, 10 years
When should hearing screening occur?
Newborn, 4, 5, 6, 8, 10 years
When does autism screening occur?
18, 24 months
At what age does BP screening start?
Age 3 years
When does anemia screening occur for kids?
At age 12 months
When does lead screening occur for kids?
At age 12 months
When can fluoride supplementation begin?
Age 6 months
Is TB screening always necessary at 12 months?
No, only if at high risk
At what adolescent ages should eyes be tested?
Ages 12, 15, 18
Do adolescents need hearing screens?
Only if risk assessment indicates
When should adolescents get their first lipid screening?
Between ages 18-21
T/F: all adolescents should be confidentially screened once for HIV between ages 16-18?
True
When should sexually active adolescents be screened for chlamydia and gonorrhea?
Annually
How frequently should Td be given?
Every 10 years
How frequently should Tdap be given?
Replace one adult Td with a Tdap booster
When should the 23-valent (Pneumovax) be given?
Age 65+
When should the 13-valent conjugate (Prevnar) be given?
Age 65+ (this one goes first; separate from the Pneumovax by 1 year)
When should the shingles (Zostavax) vaccine be given?
Age 60+
When should AAA screening occur?
Once by US for men aged 65-75 years who have ever smoked
When should mammograms occur?
Age 50-74 every 2 years
When should aspirin be given for cardiovascular disease prevention?
Age 50-59 years and a 10-year CVD risk 10%+
When should statin therapy be given?
One or more CVD risk factors; usually starting age 40
Is carotid artery stenosis screening recommended for asymptomatic individuals?
No
Is carotid artery stenosis screening recommended for asymptomatic individuals?
No
When is pap smear recommended?
Age 21-65, with cytology every 3 years
How often can women age 30-65 push pap smears?
Every 5 years with both cytology and HPV testing
When should chlamydia screening occur?
All sexually active nonpregnant women age 24 and younger
When should pregnant women be screened for chlamydia?
Age 24 and younger, or if at high risk
Should men be tested for chlamydia?
Insufficient evidence
When should FOBT occur?
Yearly age 50-75
When should sigmoidoscopy occur?
Every 5 years age 50-75
When should colonoscopy occur?
Every 10 years age 50-75 (every 5 if polyps found)
When should T2DM screening occur?
Adults with BP higher than 135/80 if age 40-70 and overweight, or overweight/obese adults (ADA)
When should exercise/PT and vitamin D supplementation occur?
Adults age 65+ at risk of falls
When should exercise/PT and vitamin D supplementation occur?
Adults age 65+ at risk of falls
When should gonorrhea screening occur?
All sexually active women deemed high risk
When should HIV testing occur?
Ages 18-45
When should lipid screening occur?
Age 40-75 with 1 or more CVD risk factors such as dyslipidemia, DM, HTN, or smoking
When does CT for lung cancer occur?
Adults age 55-80 with a 30+ pack year history or if they quit within the past 15 years
When should osteoporosis screening occur?
Women age 65+ or younger women with risks
What’s the most important part of the preparticipation physical?
The history
HOCM murmur is ______ when standing and ______ when squatting?
Louder when standing
Softer when squatting
What risk category are the following surgeries:
- breast
- dental
- endocrine
- eye
- gynecologic
- minor orthopedic
- minor urologic
Low risk (<1%)
What risk categories are the following surgeries:
- abdominal
- carotid
- peripheral arterial angioplasty
- endovascular aneurysm repair
- head and neck
- hip and spine repair
Intermediate risk (1-5%)
What risk categories are the following surgeries:
- aortic and major vascular
- peripheral vascular
High risk (>5%)
When is the first dose of varicella recommended?
12 months
