Preventive Medicine Flashcards
How often should mammography be done?
Every 2 years
T/F: SERMs like Raloxifene and Tamoxifen can be used to prevent breast cancer in patients with 2 first-degree relatives with breast cancer?
True
If the patient asks mortality benefit for PSA, say __?
No
If the patient wants/requests a PSA, say __?
Yes
Lung cancer screening (low dose CT) is not needed if the patient quit >__ years ago?
15
When are cholesterol and LDL measurements recommended for healthy males and females?
Males: >35
Females: >45
When should diabetes be screened?
If the patient is obese, has HTN, or has HLD
When do you use the inactivated flu vaccine?
Age 50+ or chronic medical illness
Is egg allergy a contraindication to the flu vaccine?
No
What are 2 unexpected conditions that indicate the pneumococcal vaccine?
- Cochlear implant
2. CSF leak
When do you give the shingles vaccine?
Age 50
Are Hep A and B vaccines indicated in children and in CLD?
Yes
When someone gets exposed to Hep B from a needle stick what’s the PEP?
Hep B Ig and Hep B vaccine
Is there PEP for Hep C?
No
Describe the tetanus vaccine recommendations:
- DTap for children
- Tdap 11-12
- Td for adults every 10 years (toxoid) with one booster as Tdap
What if someone has had <3 doses of Td, have never been vaccinated against tetanus, or status unknown and they get a dirty wound?
Give Tetanus immune globulin and Td
What unexpected religious indication warrants meningococcal vaccine?
Travelers to Mecca or Medina for the Hajj
What condition that rhymes with “gomplement deficiency” requires meningococcal vaccine?
Complement deficiency
What if someone had their last Td 6 years ago and gets a dirty wound?
Administer Td but no Tetanus immune globulin
Do patients with asplenia need the meningococcal vaccine?
Yes
When should women get a DEXA?
Age 65
When do you screen for abdominal aortic aneurysm?
All men above age 65 with smoking history, or everyone 65-75 with a family history
What’s the most effective medical means of smoking cessation?
Varencicline
Are varencicline and buproprion more effective than nicotine patches/gum?
Yes
