Preventive Medicine Flashcards
Which cancer screening method has the greatest benefit to patients
Mammography above 50
When should mammography be done
Starting Age 40-50 every 2 yrs
When can screening mammorgaphy be stopped
Age 75
Who gets PPx SERMS
Those w/ 2 first degree relatives with breast CA but ASx
What is the role of BRCA testing
While BRCA positive means an increased risk of breast CA, it doesn’t change management of the patient
When is PAP done
Every 3 years starting at age 21 until 65
When is PAP + HPV testing done
Starting at age 30. Interval increases to 5 years
Who gets HPV vaccine
Between ages 11 and 26
Who gets chlamydia screening
15-25
Best screening test for colon CA
Colonoscopy
When is screening colonoscopy performed
Every 10yrs starting at age 50
Mortality benefit in prostate CA screening
None, not in PSA or DRE
Pt asks for PSA, what to do
Do it
Test for Lung CA screening
None
Single most beneficial disease preventative method of any type
Smoking cessation
When are cholesterol and LDL measurements recommended
Men > 35
Women > 45
DM, CAD, PAD, HTN, Aortic disease, Carotid disease
Goal for LDL
When is BP testing indicated
Age 18
How often should adults be screened
Every 2 years
When is screening for DM done
HTN
Hyperlipidemia
What are the cutoffs for DM
2 fasting glucose > 125
HbA1c > 6.5
2 vaccines most beneficial for adults
Influenza
Pneumococcus
Who cannot get live attenuated vaccines
Age >50 Chronic heart, lung, liver, kidney disease HIV/AIDS Steroid users Immunocompromised DM
Indications for influenza vaccine
Everyone yearly
Healthcare workers
Pregnant pts
