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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
herpes (Varicella)
- all kids | - higher dose: all patients above 60yo-- prevents shingles and post-herpetic neuralgia
26
hep A+B
- all children - chronic liver disease - MSM or multiple sexual partners - household contacts with hep A or B - injection drug users
27
hep A
travelers to endemic countries
28
hep B
- end stage renal disease (dialysis_ - HCW's - diabetes
29
toxoid
td-- every 10 years
30
booster of tetanus=
Tdap
31
never vaccinated for tetanus
Ig
32
dirty wound
booster after 5 years
33
clean wound
booster after 10 years
34
meningococcal vaccine
kids 11yo - asplenics - terminal complement deficiency - military recruits - residents of college dorms - travelers to mecca or medina in saudi for the hajj
35
who will benefit most from hep a and b
chronic liver disease patients
36
who will benefit most from meningococcal vaccine
asplenia
37
osteoporosis screening
DEXA all women 65yo
38
AAA screening
all men with smoking history
39
3-4cm AAA
every 2-3 years
40
4-5.4cm AAA
every 6-12 months
41
PCP prophylaxis
HIV transplant patient CLL
42
HIV screening initial
15-65yo (if risk factors= younger or older) TB tx Other STD tx
43
HIV screening annual
IVDU | MSM
44
HIV screening additional
prego occupational exposure-- BITE new STD symptom before new relationship
45
follow up hepB
serial - ALT - Hep e Ag every 3-6 months
46
no sports with mono for....
3 weeks
47
post splenectomy vaccines
14 DAYS - before surgery OR - after surgery

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