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Master the Boards > Preventive Medicine > Flashcards

Preventive Medicine Flashcards

1
Q

which cancer screening method lowers mortality the most

A

mamma above 50yo

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2
Q

breast cancer screening

A

starting from age 40-50yo, every 2 years, until 75yo

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3
Q

breast self exam

A

WRONGGGGGOOOO– no proof

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4
Q

only imaging in breast cancer screening that decreases mortality

A

MAMMOGRAPHY

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5
Q

what prophylaxis given in breast cancer screening

A

SERMs for 2 FDR’s

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6
Q

BRCA testing….

A

don’t know what to do next

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7
Q

pap smears

A

21-30yo, every 3 years

30-65yo, every 5 years if PAP + HPV testing

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8
Q

chlamydia screening

A

age 15-25yo

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9
Q

most likely to reduce colon cancer

A

routine screening: colonoscopy every 10 years starting from 50 yo

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10
Q

capsule endoscopy

A

WRONG for colon cancer

it’s for SMALL BOWEL bleeding

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11
Q

DRE mortality benefit

A

NOPE, not proven for any cancer

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12
Q

Prostate screening

A

NOOOOO

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13
Q

patient asks for PSA

A

give it to them

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14
Q

does PSA lower mortality

A

NOOOOOO

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15
Q

lung cancer screening

A

30 pack years of smoking, chest CT from 55 yo

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16
Q

NUMBER ONE ANY DISEASE PREVENTION

A

SMOKING CESSATION

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17
Q

lipid screening

A 
CH and LDL for 
men-35yo
women-45yo
DM
HTN patients
CAD/carotid/PVD/AAA
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18
Q

HTN screening

A

all patients 18 yo

every 2 years

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19
Q

DM screening consists of

A

FBG (2 measurements over 125 or HbA1c>6.5%) if…
HTN
hyperlipidemia

20
Q

inactivated influenza vaccine and PCV vaccine for…

A
  • patients over 50yo
  • chronic: heart/lung/liver/kidney/DM
  • immunosuppressed:
    HIV/AIDS/steroids/cancer/asplenic
21
Q

is egg allergy a contraindication to flu vaccine?

22
Q

who gets influenza vaccine

A
  • everyone yearly
  • HCW’s
  • pregnant
23
Q

PCV vaccine numbers

A

first give 13 polyvalent

after 6-12 months, fu with 23 polyvalent

24
Q

PCV vaccine

A
  • everyone above 65yo
  • cochlear implant
  • CSF leaks
  • alcoholics
  • tobacco smokers
  • one vaccine above 65yo
  • single revaccination after 5 years if the patient is immunocompromised or the first injection was prior to age 65
25
Q

herpes (Varicella)

A
  • all kids

- higher dose: all patients above 60yo– prevents shingles and post-herpetic neuralgia

26
Q

hep A+B

A
  • all children
  • chronic liver disease
  • MSM or multiple sexual partners
  • household contacts with hep A or B
  • injection drug users
27
Q

hep A

A

travelers to endemic countries

28
Q

hep B

A
  • end stage renal disease (dialysis_
  • HCW’s
  • diabetes
29
Q

toxoid

A

td– every 10 years

30
Q

booster of tetanus=

31
Q

never vaccinated for tetanus

32
Q

dirty wound

A

booster after 5 years

33
Q

clean wound

A

booster after 10 years

34
Q

meningococcal vaccine

A

kids 11yo

  • asplenics
  • terminal complement deficiency
  • military recruits
  • residents of college dorms
  • travelers to mecca or medina in saudi for the hajj
35
Q

who will benefit most from hep a and b

A

chronic liver disease patients

36
Q

who will benefit most from meningococcal vaccine

37
Q

osteoporosis screening

A

DEXA all women 65yo

38
Q

AAA screening

A

all men with smoking history

39
Q

3-4cm AAA

A

every 2-3 years

40
Q

4-5.4cm AAA

A

every 6-12 months

41
Q

PCP prophylaxis

A

HIV
transplant patient
CLL

42
Q

HIV screening initial

A

15-65yo (if risk factors= younger or older)
TB tx
Other STD tx

43
Q

HIV screening annual

44
Q

HIV screening additional

A

prego
occupational exposure– BITE
new STD symptom
before new relationship

45
Q

follow up hepB

A

serial

  • ALT
  • Hep e Ag

every 3-6 months

46
Q

no sports with mono for….

47
Q

post splenectomy vaccines

A

14 DAYS
- before surgery
OR
- after surgery

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