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ACNP Certification > Risk Assessment > Flashcards

Risk Assessment Flashcards

1
Q

List 4 top Adult Leading Causes of Death in order

A
  1. Heart Dz
  2. Cancer
  3. Lower Resp Dz
  4. Stroke
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2
Q

Leading cause of death in youth/young adult

A

Accidents

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3
Q

Leading Total Cancer killer for men and women

A

Lung Cancer

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4
Q

Leading cancer cause of death for females

A

Lung

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5
Q

Highest mortality cancer in females

A

Lung

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6
Q

Highest mortality gynecological cancer females

A

Ovarian

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7
Q

Nutritional requirements should be calculated on what?

A

Ideal body weight

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8
Q

Highest incidence of cancer in females?

A

Breast cancer

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9
Q

Leading cancer cause of death in males

A

lung cancer

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10
Q

Highest mortality rate cancer in men

A

Lung cancer

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11
Q

Highest mortality rate reproductive cancer in men?

A

prostate cancer

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12
Q

List greatest risk populations for suicide

A

Adolescent

Elderly

Adult male >40

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13
Q

List 4 Vaccines for adolescents

A
  1. Gardisil/cerevix ages 10-26 x 3 doses over 6 months
  2. Tdap every 10 years starting age 7
  3. Flu
  4. Meninogcoccal -ages 11-18, x1 after 5 years as freshman in college
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14
Q

Give frequency of visits in adolescent period

A

3 visits - 11-14, 15-17, 18-21

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15
Q

How to calculate Ideal body weight:

Male

Female

A

male: 110 pounds for 5 feet then 6 pounds per inch
female: 100 pounds for 5 feet then 5 pounds per inch

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16
Q

Basal calories

x

Activity calories

=

caloric requirement

A

IBW x 10 for basal calorie needs

+

activity calories calc by IBW x__

sedentary x 3

moderate x 5

heavy x 10

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17
Q

Pap Smear screenings

A

PAP age 21, GC screening

Cytology: q 3 yrs

HPV-co test starts age 30, every 5 years

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18
Q

Breast exams schedule

A

Self monthly is optional as young adult, not recommended as middle age adult

Clinical exam every 3 years starting at age 20, annually starting at age 40

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19
Q

What is the frequency of physical exams for young adults (20-39)

A

First at age 20,

then every 5-6 years

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20
Q

At what age does first cholesterol screening occur?

Frequency after that?

A

20

Ages 20-59, every 5 years unless cholesterol >200

After age 60, every 2-5 years unless cholesterol >200

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21
Q

What are 3 key points for pneumococcal vaccine recommendations?

A

Ages 19-64: Smokers and asthmatics

Age >65, all persons, MR every 5 years up to 3 doses

All persons who have chronic disease, weakened immune system, on chemo or radiation, persons in LTC facility

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22
Q

What is the pneumococcal recommendations for >65 years

A

1 at 65, every 5 years up to 3 total

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23
Q

What is the age for zostavax?

A

50

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24
Q

Mammogram recs?

A

baseline age 40

1-2 years from 40-49

annually 50 to age 74 as long as healthy

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25
Q

DRE recs

PSA recs

A

DRE starting at age 40 (with PSA at age 40 if + fam hx or AA race)

Anually thereafter

DRE +PSA for all males at age 50 annually

26
Q

Colorectal screening recs

A

FPBT annually at age 50

Flex sig Q 5 yrs

Colonoscopy or double contrast barium enema (DCBE)

every 10 years

27
Q

Age for baseline ECG

A

40

28
Q

criteria to d/c pap smears

A

at age 65-70 if three consecutive normal cytologies and no abnormal tests in past 10 years

29
Q

What age is considered elderly?

Geriatric?

A

60

65

30
Q

Definition incidence

A

Frequency/ Rate in a particular population or area at a given time

20 cases per 500,000 people of botulism in 2010 in alaska

31
Q

Definition prevalence

A

Proportion of a dsease at a particular time

1% women living in Illinois had lupus in 2010

32
Q

Major cause of death young adult

A

MVC

homicide

suicide

injury

heart disease

AIDS

33
Q

Major cause of death middle age

A

Heart disease

accident

lung CA

CVA

Breast and colorectal cancer

COPD

34
Q

Major cause of death Elderly >60

A

Heart disease

CVA

COPD

PNA/flu

Lung and colorectal CA

35
Q

Leading killer of AA (total) < 40 years

A

AIDS

36
Q

Leading killer of AA males <35

A

Homicide

37
Q

Over age 35, those who have never exercised should have what prior to starting exercise program?

A

Complete history and physical exam with exercise stress test

38
Q

Primary Prevention:

A

*PPP*

Prior to onset of Problems

vaccines, avoid smoking, seat belts, healthy diet

39
Q

People who should not exercise vigorously

A

CHF

Aortic stenosis with hemodynamic effects

40
Q

Secondary prevention:

A

*SS*

Secondary=Screening

pap smear, prostate cancer screening, cholesterol screening

41
Q

Tertiary Prevention:

A

Tertiary=Treatment:

Restoration of health, already ill

Cardiac rehab, PT after an MVC, cholesterol medication

42
Q

What percentage of calories should come from each type of fuel source:

A

Carbs: 55-60

Fats: <30%, <10% sat fat

Protein: 0.8-1.0 g/kg/day

43
Q

Do overall nutritional needs increase or decrease with illness?

A

Increase, on the test the right answer for a sick pt will be greater than min recs!

44
Q

STD and PPD screening recs in adolescents?

A

Screen for STD and PPD in adolescents when in high risk enviornment/behavior

45
Q

Breast/testicular exams in young adults?

20-39

A

Males: Monthly self exam

Females: optional monthly self breast exam,

clincal breast exam by provider every 3 years

46
Q

Breast and testicular exam in middle age adult?

40-59

A

Males: Self exam every month

Females: no monthly exam per AOG, clinical exam every year by a provider

47
Q

Exercise recs by AHA?

A

At least 30-40 min most days of the week

48
Q

Define Antigen

A

Bad guys, capable of inducing an immune response

49
Q

Define antibody

A

Synthesized in a reaction to an antigen

the fighters

50
Q

Active immunity example

A

Conferred by antibody formation stimulated by an antigen

-generated by immunizations

51
Q

Passive immunity

A

Conferred by antibody proteins such as gamma-globulin or from mother to fetus

52
Q

Hep A vaccination recs

A

Military, travelers, MHSM

53
Q

Hep B recs

A

Health care workers, high risk patients including sexually active adults

54
Q

Mumps vaccine recommendations

A

Before 1957-1 dose (2 during outbreak)

After 1957> 2 doses

55
Q

Meningococcal vaccine recs

A

Routine for adolescents age 11-12

college students, military

56
Q

3 Hep B things to remember

A

Increases risk for fulminant liver failure

Diabetics have higher risk Hep B

Screen all patients for immunity

57
Q

Is stress-test a screening?

A

No, diagnostic test for a complaint such as chest pain

58
Q

If choosing between a mamogram and a lipid screening for a healthy adult female, which would you choose?

A

Lipid screening

(higher risk of death for heart disease overall)

59
Q

What are normal breast changes with age?

A

Sagging

Cystic changes (lumpy)

( changes in skin or pores is not normal)

60
Q

What places a patient at increased risk of breast cancer?

A

Prolonged reproductive years

61
Q
A

ACNP Certification (17 decks)

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