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Risk Assessment > Risk assessment > Flashcards

Risk assessment Flashcards

1
Q

top 5 “killers” of adults in US

A
  1. heart disease
  2. CA (#1 lung, #2 colorectal)
  3. lower resp dz (asthma, COPD, PNA, flu)
  4. unintentional injuries
  5. CVA
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2
Q

Which CA is responsible for the highest mortality in women?

A

LUNG

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3
Q

Which is the leading GYN-associated cancer “killer?”

A

ovarian

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4
Q

Which is CA has the highest incidence in women other than skin CA?

A

breast

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5
Q

Which CA in men is responsible for the highest mortality?

A

lung

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6
Q

Other than skin CA, which is the 2nd most common cancer in men?

A

prostate

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7
Q

Combining men & women, which is the leading CA “killer?”

A

lung

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8
Q

Combining men & women, which is the 2nd leading CA “killer?”

A

colorectal

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9
Q

Major causes of death in adolescents (12-19)

A

*MCVs -suicide -homicide -CA -CV/congenital dz’s

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10
Q

major causes of death in young adults (20-39)

A

*MVCs

  • homicide (leading cause of death in AA men <35yr)
  • suicide
  • injuries
  • heart disease
  • *AIDS (leading cause of death in AA in US <40yr)
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11
Q

what is the leading killer of African american men <35yr?

A

homicide

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12
Q

what is the leading killer of American Americans <40yr in the U.S?

A

AIDS

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13
Q

Major causes of death in the middle aged adult (40-59yr)

A

**heart disease

  • accidents
  • lung CA, breast, CA, colorectal CA
  • CVA
  • COPD
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14
Q

major causes of death in the elderly adult (>/= 60yr)

A

**heart disease

CVA

COPD PNA and/or influenza lung

colorectal CA

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15
Q

When do adolescents first need a complete physical exam (PE)?

A

age 11-14

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16
Q

How often do adolescents need a PE?

A

3 visits: age 11-14 age 15-17 age 18-21

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17
Q

When should the Gardasil vaccine be administered?

A

age 11-26

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18
Q

when should syphilis screening start?

A

when sexually active

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19
Q

when should tetanus-diphtheria (Td) first be administered?

A

as early as age 7

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20
Q

how often should Td be given?

A

every 10 yrs *substitute 1 dose of Tdap for Td

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21
Q

When should meningococcal vaccine be administered?

A

age 11-12 (approved for ages 2-55yr)

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22
Q

Should repeat meningococcal vaccine be given?

A

*revaccinate x 1 , 5yrs after last dose, for high risk groups (college freshman, military, travelers-Africa)

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23
Q

At what age can the influenza vaccine start to be given?

A

>6mon

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24
Q

Under what circumstances should the pneumococcal vaccine be given to adolescents?

A

age 19-64 if smoker or asthma

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25
Q

When and how often should PPD screening be given to adolescents?

A

once during adolescence q2yr if at risk or exposure to TB

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26
Q

How often should PE be done as a young adult?

A

q5-6yrs

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27
Q

Criteria for PAP testing?

A

within 3 yrs of sexual activity or 21-65

28
Q

When should chlamydia testing be done?

A

for all = 25yr

29
Q

How often should a PAP be done?

A

q3yr

30
Q

When and how often should the HPV co-test be done?

A

starting at age 30 & q5yr

31
Q

at what age should self breast exams begin?

A

21

32
Q

how often should a clinical breast exam be done?

A

q3 yr

33
Q

How often should a BP assessment be done in the young adult?

A

with every health visit or q2yr

34
Q

What is the youngest age to do lipid panel?

A

20

35
Q

How often should a lipid panel be done in the young adult?

A

q5yr unless >200

36
Q

How often should a PE be done in the middle-aged adult?

A

q5-6yr

37
Q

how often should a PAP be done in the middle-aged adult (40-59)?

A

every 3 yr

38
Q

How often should the HPV co-test be done in the middle-aged adult?

A

q5yr

39
Q

How often should a clinical breast exam be done in the middle aged adult?

A

every year starting at age 40

40
Q

Mammography screening

A

> 40 & every 1-2yr

41
Q

How often does ACOG recommend mammography screening?

A

annually for ages 50-74

42
Q

At what age should Digital Rectal Exam (DRE) first be done?

A

50, unless AA or family hx then at age 40

43
Q

When should PSA testing first begin?

A

age 50, unless AA or family history –> then 40 year

44
Q

If family history of prostate CA or African American, at what age should PSA testing be done?

A

40

45
Q

How often should a BP assessment be done in the middle aged adult?

A

with every health visit or q2yr

46
Q

At what age should colorectal screening begin?

A

50

47
Q

What are the acceptable colorectal screening methods & how often?

A

annual FOBT flexible sigmoidoscopy q5yr colonscopy q10yr

48
Q

When should baseline tonometry (glaucoma) screening first be done?

A

40yr

49
Q

How often should tonometry screening be done in the middle aged adult?

A

annually

50
Q

What is the earliest the Herpes Zoster vaccine (zostavax) be given?

A

50yr

51
Q

Who requires the PPSV23 pneumoccocal vaccine?

A

age 19-64 w/comorbidities: smoker, asthma, COPD, diabets, alcoholism

52
Q

How often should a PE be done in the elderly adult?

A

q2yr

53
Q

When can PAP smears be discontinued?

A

>65-70 w/ 3 consecutive normal cytology tests & no abn tests in the past 10 yrs

54
Q

When can mammography screening be discontinued?

A

age 74, as long as in good health

55
Q

How often should DRE & PSA test be done in the middle aged adult & elderly adult?

A

annually

56
Q

At what age should one have a baseline ECG?

A

40

57
Q

how often should the elderly adult have a repeat ECG?

A

q2yr

58
Q

How often should glaucoma screening be done in the elder adult?

A

annually

59
Q

Who should received the PPSV23 & PCV13 pneumococcal vaccines?

A

>/= 65yr

60
Q

How much daily intake of protein is necessary?

A

0.8-1.0g/kg/d

61
Q

Those patients living in a nursing home or long-term home need which vaccine?

A

pneumoccocal

62
Q

What vaccines are necessary for healthcare workers?

A

Hep B

Mumps ( if born after 1957, 2 doses of vaccine)

63
Q

What criteria should prompt DM screening?

A

in asymptomatic adults >135/80.

64
Q

osteoporosis screening

A

in women >65yr old >60yr & at risk

65
Q

most common disease affecting older adults

A

osteoarthritis

Risk Assessment (2 decks)

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