Screening Flashcards
Cervical cancer screening with cytology alone - age and frequency
21-29, every 3 years
Age and frequency of cervical cancer screening with hpv testing alone or with cotest (with cytology)
30-65, every 5 years
When to screen for chlamydia / gonorrhea
all sexually active women age 24 and younger, or older women at increased risk for infection
Age for colorectal screening
45-75
6 Screening options for colorectal cancer and frequency
occult or FIT every year, stool DNA fit every 1-3 years, CT or flex sigmoid every 5 years, flex sigmoid every 10 years plus annual FIT, or colonoscopy every 10
how to prevent falls in older adult communities +65
exercise interventions
Hep C screening, age and frequency
at least once age 18-79
HIV screening
at least once 13+
lung cancer screening for patients with 20 pack year smoking history who smoke or quit within last 15 years
annual screening with LDCT, age 50-80
3 Criteria for Statin use for primary prevention
1) adults 40-75 with no hx CVD; 2) 1 or more CVD risk factors (LDL >130, HDL <40); 3) 10 year calculated risk >10%
When to refer obese patients for behavioral interventions?
BMI 30
How often to get a physical, starting age
20 years, q 5 years
AAA SCREENING
MEN 65-75 who have smoked, once
DM screening age and frequency
40-70 years old who are overweight, every 3 years if normal
BP screening age and frequency
18+; annually for 40+ or if increased risk for HTN; 3-5 years for 18-39yo with no risk and normal reading
Cholesterol screening age and frequency
starting age 20, every 5 years unless CVD risk factors (cholesterol >200)
PCV13 age and dose
19-64 if medical conditions, 1 dose - or 65+ given BEFORE PPSV23
PPSV23 age and dose
16-64 if medical conditions, 1-2 doses depending - or 65+ at least one year after pcv13 and at least 5 years after PPSV23
Contraindications to zoster vaccine
allergy to gelatin, neomycin, weakened immune system (HIV/AIDs, cancer, etc)
What is quaternary prevention
prevention of overmedicalization
Breast cancer screening with mammography age and frequency
50-74 yo, every two years
Initial diagnostic study of choice for AAA
ultrasound
the A’s of tobacco cessation
Ask, advise, assess, assist, arrange
two of the most important risk factors for GI bleed from stress ulcers
coagulation and RF with need for MV
Best tool for assessing fall risk in the hospital, positive score?
Stratify; five factors, 2/5 = increased risk for falls
what is diclofenac
NSAID
which class of drugs helps with memory in alzheimers
cholinesterase inhibitors
antibiotics for community acquired MRSA skin infection
Bactrim, doxy, clindamycin
4 types of drug reaction
- urticarial/angioedema of skin (wheals); 2. petechial rash from antibodies causing lysis to cells (platelets and leukocytes) 3. delayed, can cause urticaria/vasculitis; 4. cell mediated immune reaction —> SJS
When to use hydrocolloid dressings
stage II/III
when to use alginate dressings
stage III/IV
when not to use hydrogels
wounds with excess exudate, must be used with gauze dressing
non pharm tx for states dermatitis
compression stockings with 30-40mmhg gradient
CMS quality measures
Centers for medicare/medicaid services: effective, safe, efficient, patient centered, equitable, timely
Group of healthcare providers/hospitals that voluntarily come together to give coordinated high quality care to medicare patients
accountable care organizations
CPT codes for critical care
99291-99292
Inpatient initial visit CPT codes
99221-99223
Subsequent hospital visit CPT codes
99231-99233
discharge CPT code
99238-99239
what is MACRA
Medical access and chip reauthorization; incorporates MIPS, advanced alternative payment models, and quality payment programs – rewards value over volume
at what creatinine clearance should you discontinue Xarelto
<15
What GFR should you discontinue spironolactone
<10
