Risk Assessment Flashcards
What age do you start screening males for syphilis? Females? How often?
Start screening both sexes WHEN THEY BECOME SEXUALLY ACTIVE. Screen them PRN or with Pap smear.
What age range would you start administering the HPV vaccine for females? Explain the vaccine’s scheduling.
Age 10-26.
Gardasil: series of 3 doses over 6 months.
What age range should a male begin self breast/self-testicular exams? How often?
Adolescence
Monthly
**This monthly throughout the life span
What age/range do you start screening for HIV? How would you determine how often? (throughout the life span)
What age: depends on level of sexual activity or IV drug use
How often: must assess knowledge of pt about prevention, contraception, protective barriers, etc.
This goes for ALL age groups
Tetanus-diptheria (Td) - must substitute a dose of Tdap for Td beginning how early in a pt’s life? How often do they need this vaccine?
What age group should you NOT give this vaccine?
Early as age 7
Every 10 years
Not indicated for pts over 65 years old
What vaccine is NOT routinely administered to adults?
Meningococcal Vaccine
What age range would you administer a meningococcal vaccine? How often?
All adolescents 11-18.
Revaccination is controversial; revaccinate only once AFTER 5 YEARS if pt is at high-risk (dorms, e.g.)
Who should get the flu vaccine? How often?
Everyone ages 6 months or older.
Annually
What 2 age groups do you give the pneumococcal vaccine? (Explain why more than 1 age group could receive it).
- 65 and older
- Give it to pts age 19-64 if they are a smoker OR have chronic conditions like DM, asthma, or those who are immunocompromised**
In adolescence, how often do you screen for PPD? Why would you repeat it and how often?
Once.
Repeat it every 2 years if at risk or with any exposure to TB
What is the second leading cause of cancer deaths?
Colorectal Cancer
What age do you start screening for Colorectal cancer? How often (3 answers)?
50
- Fecal Occult Blood Test - annually
- Flexible sigmoidoscopy - every 5 years
- Colonoscopy - every 10 years OR the double contrast barium enema every 5-10 years.
What is the leading killer of African Americans under age 40?
AIDS
Homicide is the leading killer for what race and what age group?
Men ONLY
Less than 35 years old
After adolescence, how often do you screen the young, middle-aged, and older-adult populations for PPD?
It is controversial, but annually for high risk populations.
How often do young adults need a complete physical examination?
Every 5-6 years, starting at age 20.
How often does the middle-aged adult need a complete physical examination?
Every 5-6 years
How often does the older-adult population need a complete physical examination? At what age? Are labs warranted?
Every 2 years
60
Yes
When does a person start self-skin exams? How often?
By age 20.
Check skin regularly.
When (what age range) does an adolescent need to start getting a complete physical exam? After first visit, how often? (age ranges)
11-14
Every 3 years: (11-14) (15-17) (18-21)
- By at least age ___ should pt have glaucoma screenings?
- What method is used?
- How often?
- 40
- Tonometry
- Annually
How often should BP be checked in young adults, middle-aged adults, and older adults?
With every healthcare visit or every 2 years.
What age do you start screening pts by drawing a total cholesterol panel, HDL (or a full fasting lipid panel)? How often??
Age 20.
Every 5 years unless the total cholesterol is > 200. May be every 2-5 years in the older adult.
- At what age do you start administering Zostavax?
- What does this vaccine prevent?
- How many times would a pt need the vaccine?
- Age 50
- It is the Herpes Zoster Vaccine. It prevents shingles.
- Once
