Risk Assessment Flashcards

1
Q

When should complete pysical be done

A

starting age 20 then every 5-6 years.

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2
Q

Pap smear screening

A

start at 21
conventional or liquid based cytology
-repeat every 3 years until 30 years

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3
Q

when to do HPV Co-test (cytology +HPV test administered together)

A

age 30-65 years

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4
Q

Mammography screening

A

age 40

q 1-2 years from 40-49 then annually for ages 50-74

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5
Q

Total cholesterol and HDL screening

A

age 20.

every 5 years unless cholesterol > 200

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6
Q

prostate screening (DRE and PSA)

A

DRE age 40 and PSA age 40 for men with a family hx of cancer

all men 50 years of age should have DRE and PSA.

annually

if african american or person hx PSA may be drawn earlier

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7
Q

colorectal cancer

A

age 50

  • annual FOBT
  • sigmoidoscopy q 5 years
  • total colon q 10 years or double contrast barium enema
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8
Q

glaucoma screening

A

by age of 40

annually

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9
Q

Major causes of death 12-19 years

A
MVA
suicide
other accidents
homicide
malignancy
cardiovascular or congenital dz
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10
Q

major causes of death 20-39

A
MVCs
homicide
suicide
injuries
heart dz
AIDS
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11
Q

major causes of death 40-59 years

A
heart dz
accidents
lung ca
cva
breast and colorectal cancer
copd
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12
Q

major causes of death > 60 years

A

heart dz
cva
copd
pneumonia/influenza

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13
Q

what is secondary prevention?

A

focuses on early identification and treatment of exisiting problems: pap smear screening, prostate cancer screening, cholesterol screening etc

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14
Q

tertiary prevention

A

rehabilitation and restoration of health.

cardiac rehab following an MI, physical therapy following mvc

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15
Q

Incidence vs prevalence

A

incidence: 20 cases of botulism per 500,000 people were erported in alaska during 2010.
prevalence: the prevalence of lupus in women living in Illinois during 2010 was < 1%

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16
Q

antigens

A

substances capable of inducing a specific immune response (the bad guy)

17
Q

antibodies

A

molecules synthesized in reaction to an antigen.

what body makes to fight the antigen

18
Q

passive immunity vs active immunity

A

conferred by the introduction of antibody proteins such as gamma globulin injecctions or maternal immunity transferred to the fetus
gamma globulin injections: Hb-IG-given for known exposure to hep B in a patient that isn’t vaccinated

active: receiving tetanus toxoid

19
Q

Hep A vaccine

A

military personel
travelers to endemic areas
men who have sex with men

20
Q

Hep B vaccine

A

health care workers

high risk patients

21
Q

mumps vaccination born before 1957

A

if born before 1957: consider 1 dose of vaccine unless evidence of immunity.

immunity: clinically diagnosed mumps or positive serology

unless immune, employ 2 doses during mumps outbreak

22
Q

mumps vaccine during or after 1957

A

2 doses of vaccine unless immunity documented

23
Q

meningococcal vaccine

A

approved for ages 2-55
routinely for adolescents 11-12, year visit and catch up for college students, military personnel, immunocompromised, travelers,

24
Q

with herbal agents if it starts with a G it….

A

increases risk of bleeding

25
Q

St john’s wart does what?

tries to improve depression

A

increase risk of clotting
SSRIs-serotonin syndrome**
decrease effectiveness of oral contraceptives
may increase effects of narcotics** (concern in surgery)

26
Q

evening primrose &

black cohosh

A

premenstrual and menopausal discomfort

black: increase risk of bleeding
evening primrose may elevate blood glucose

27
Q

kava kava

improving relaxation

A

can lead to HTN, liver damage
alcohol increases it’s toxic effects
may worsen parkinson’s symptoms

28
Q

Cancers.

A

Gyn: ovarian
incidence: breast
Lung: highest mortality (men and women)
incidence: prostate

29
Q

When do you give Herpes Zoster

A

60 years

but 50 years if insurance will cover it

30
Q

Leading cause of death in African Americans less than 40 years of age.

A

African Americans less than 40 years of age HIV is leading cause of death
less than 35 years of age homicide is leading cause of death

31
Q

primary prevention

A

measures to promote health prior to the onset of problems. PPP
dietary measures etc..

32
Q

AHA recommendations for exercise

A

30 minutes or more on most days of the week

33
Q

ginger used for?

Ginko baloba used for?

A

ginger: nausea, dyspepsia, constipation

Ginko: memory