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Step 2 CK (primary set) > Preventive Medecine > Flashcards

Preventive Medecine Flashcards

1
Q

screenning test for pancreatic cancer

A

no test for that

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2
Q

why use ca 19-9

A

evaluation of the response to treatment

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3
Q

recommended vaccine in hiv(2)

A

the same guideline as normal individual

exception for live attenuated vaccine

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4
Q

When should be given Tetanos diphteria

A

q 10 ans

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5
Q

CAT in patient more than 65 ans who has never received tetanus toxoid

A

one dose of Tdap before receiving any booster

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6
Q

quid of Tdap(2)

A

tetanos

acellular petussis

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7
Q

smoking cessation(3)

A

bupropion
counselling
nicotine replacement

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8
Q

quid of bupropion(2)

A

antidepressant

approved by FDA

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9
Q

other drug used in smoking cessation and action.(2)

A

varenicline

partial agonist of nicotinic acetylcholine receptor

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10
Q

patient with anti HBS-antibody positive has AES in patient positive for Hep B CAT?

A

do nothing

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11
Q

patient with with unknown statut has AES in patient positive for Hep B CAT?

A

Immune globulin

vaccination series for Hep B

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12
Q

CAT in patient diabetic 40-75 ans with ten year cardiovascular risk <7,5(2)

A

lifestyle modification

moderate statin use

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13
Q

when to begin prostate screening(3)

A

controversy
some say 40
some say case by case approach

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14
Q

screening of prostate cancer(2)

A

Psa

digital exam

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15
Q

recommendation for tetanos and diphteria prevention

A

starting after 18
TD q 10 ans
or for all ages Tdap at single dose

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16
Q

indication of pneumococcal vaccine in < 65 ans(10

A 
chronic lung disease
chronic CV disease
diabetes mellitus
chronic liver disease
immunocpmpromised patient
functional or anatomic asplenia
alcoholism
cigarette
cochlear inplant
CSF leak
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17
Q

quid of chronic lung disease(3)

A

asthme
bronchite chronique
emphysema

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18
Q

cause of functionnal asplenia(4)

A

sickle cell disease
hemoglobinopathy
splenectomy
acquired asplenism

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19
Q

people who can receive intranasal influenza

A

healthy individual

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20
Q

people who cant receive intranasal influenza

what should be given

A

immunocompromised patient

intramuscular influenza vaccine

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21
Q

way to prevent decubitus ulcer(2)

A

change position q 2h

pressure reducing devices

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22
Q

patient at risk for decubitus ulcer(3)

A

immobility
poor nutrition
sensory impairment

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23
Q

quid of pressure reducing devices

A

air and foam mattress

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24
Q

when to screen breast cancer and when to start

A

q 2 ans

starting 50

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25
Q

when generally breast cancer is no more important

A

after 75

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26
Q

when to screen cervical cancer and when start(2)

A

q 3 ans

21 ans

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27
Q

frequency of screening for cervical cancer in 30-65 ans

A

q 5 ans

par smear et serology HPV

28
Q

when to screen cervical cancer in immunocompromised patient(hiv,tranplanted or immunosuppresive drug)and frequency(2)

A

at the onset of sexual activity

annually but twice in the first year

29
Q

screening for colon cancer in patient with parent killed by the ca

A

begin ten years earlier

30
Q

screening for colon cancer in patient in general and frequency(2)

A

50 ans

q 10 ans

31
Q

way of screening colon cancer(5)

A 
fecal occult blood in feces
colonoscopy
Flexible sigmoidoscopy
FOBT plus flexible sigmoidoscopy
double contrast bayum enema
32
Q

patient with cd4 less than 200 what vaccines should not be done to this patient

A

MMR
varicella
zoster
intranasal influenza

33
Q

dose of Hep A vaccine in HIV patient or in general(2)

A

2 doses

the second a 6 mois de la premiere dose

34
Q

dose of hep B in HIV or in general situation

A

3 doses

o month,1 month,4 month

35
Q

frequency of Hi flu

A

one dose in infancy

36
Q

best rx for claudication

A

exercice program

37
Q

what should receive any patient with atherosclerotic risk(2)

PAD

A

statin

aspirin

38
Q

criteria to scren abdominal aneurism

A

smoker

> 65

39
Q

frequency of screening for abdominal aneurism

A

one time

40
Q

way of screening abdominal aneurism

A

U/S

41
Q

number of dose of PPSV(pneumonia vaccine)(2)

A

1 or 2(repeat in 5 yars)

more than 65 years one dose

42
Q

patient going to egypt important vaccine to be given(or north africa or any developing country)(4)

A

-Hep A
Hep B
typhoide
Polyo

43
Q

CAT in patient with atherosclerotic risk disease 75 ans

A

high intensity statin

44
Q

CAT in patient with atherosclerotic risk disease > 75 ans

A

moderate intensity statin

45
Q

quid of atherosclerotic disease(3)

A

stroke
pad
CAD

46
Q

CAT in LDL >/190 mg/dl

A

high intensity statin

47
Q

diabetic entre 40-75 ans patient with 10 year atherosclerotic cardiovascular risk >/ 7,5

A

high intensity statin

48
Q

diabetic entre 40-75 ans patient with 10 year atherosclerotic cardiovascular risk < 7,5

A

moderate intensity statin

49
Q

patient with 10 year atherosclerotic cardiovascular risk >/ 7,5

A

moderate to high intensity statin

50
Q

prevention of influenza in immunocompromised patient

A

IM influenza vaccine

51
Q

mechanism of action of pneumococcal pneumoniae prevention using the polyvalent pneumococcal vaccine

A

T-cell independent B cell response

52
Q

why polyvalent pneumococal vaccine cannot activate T cell(2)

A

because it’s just polysaccharides of the 23 most prevalent types of pneumococcus
polysaccharides cannot be presented to t cell

53
Q

quid of heptavalent pneumococcus vaccine(2)

A

use in children

t cell dependent b cell response

54
Q

screnning test in any sexually active women

A

chlamydia trachomatis

55
Q

risk for bladder cancer(2)

A

smoking

industrial chemical

56
Q

screening of bladder cancer

A

no screening

57
Q

when to screen patient for osteoporosis

A

starting after 65 ans

58
Q

quid of osteoporosis

A

bone density > 2,5 of standard deviation or

T

59
Q

quid of osteopenia

A

T entre -1 et -2,5

60
Q

the most important risk factor for osteoporosis in the US

A

post menopause

61
Q

risk factor for osteoporosis(6)

A 
poor intake of VitD and calcium
smoking
common steroid use
lack of weight bearing exercice
low body mass index < 58 kg
heavy alcohol use
62
Q

secondary cause of osteoporosis(11)

A 
premature menopause
hypogonadism
malabsorption disease
IBD
rhumatoid arthritis
cushing syndrome
hyperthyroidism
hyperparathyroidism
vit D deficiency
chronic liver disese
renal disease
63
Q

screening test for hyperlipidemia in men when to start and frequency(2)

A

> 35 ans

lipid panel q 5 ans

64
Q

when mamo is no longer important in screening breast ca

A

after 75 ans

65
Q

high intensity statin(2)

A

atorvastatin 40-80

rosuvastatin 20-40 mg

66
Q

moderate intensity statin(5)

A 
atorvastatin 10-20 mg
rosuvastatin 5-10
simvastatin 20-40
pravastatin 40-80
lovastatin 40

Step 2 CK (primary set) (22 decks)

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