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Clerkship Prep > Screening > Flashcards

Screening Flashcards

1
Q

clinical screening for breast cancer?

A

50-74 routine mammography every 2-3 years

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2
Q

Is clinical breast exam recommended

A

No

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3
Q

Is breast self exam recommended

A

No

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4
Q

What age does breast screening stop

A

75

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5
Q

When should paps start

A

Age 21

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6
Q

How often for typical Pap screening

A

3 years

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7
Q

When should paps stop

A

69 if 3 negative in the last 10 years

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8
Q

Should a 21 year old virgin get a pap

A

Not til sexually active

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9
Q

Should a woman with hysterectomy get a Pap test

A

Not if it was total, for benign disease, and no previous high grade Pap result

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10
Q

Who should have paps every year

A

Immunocompromised, HIV+, previous high grade lesions

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11
Q

What happens to hpv infections

A

90% self resolve in 2 years

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12
Q

When do you screen an adult for diabetes

A

Every 3-5 years only if they’re at high risk

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13
Q

Colon cancer screening recommendations

A

50-74, FOBT q2yrs or sigmoidoscopy q10yrs

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14
Q

Symptoms that require urgent investigation for colon cancer

A

Rectal bleeding, persistent changes in bowel habits, abdo pain or unexplained weight loss or anemia

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15
Q

Should prostate cancer be screened for

A

No

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16
Q

Should depression be screened for

A

No

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17
Q

When should lung cancer be screened for

A

55-74 years with 30+ pack year history and currently smoking or quit in the last 15years

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18
Q

What diagnostic tools used for lung cancer screening

A

Low dose ct LDCT

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19
Q

Framingham risk score is used for

A

Estimation of risk for cv disease

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20
Q

The probability of being free of a disease if the result is negative is called

A

Negative predictive value

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21
Q

NPV varies with what

A

The pretest probability of the disease

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22
Q

What happens to sensitivity and specificity if you raise the cutoff value of a test? E.g. you need 3/4 criterion instead of 2/4

A

It will increase specificity and decrease sensitivity

23
Q

Incidence is

A

The number of new cases

24
Q

Prevalence is

A

The number of existing cases

25
Q

Incidence x duration of disease =

A

Prevalence

26
Q

Assessment of hypertension should include what investigations

A

Serum chemistry panel, hemoglobin, urinalysis

27
Q

When should bladder cancer be screened for?

A

Never asymptomatically - doesnt provide survival benefit

28
Q

Scan that looks at metabolic processes such as blood flow, regional chemical composition, and absorption

A

PET (positron emission tomography)

29
Q

For adults of average risk, screening for CRC is recommended beginning at age

A

45

30
Q

Patients with first degree relative with CRC should begin testing

A

At age 40, or 10 years before their relative was diagnosed

31
Q

Autism screening is routinely performed at ages

A

18m and 2y

32
Q

Depression screening starts at age

A

12

33
Q

Quadrivalent meningococcal vaccination is at age

A

Grade 6, 11 or 12

34
Q

Rotavirus vaccine is given at age

A

2-8 months

35
Q

Vision should be screened how often in kids

A

At every well child visit

36
Q

How often do we check A1C in clinic?

A

Every 3 months

37
Q

When should diabetes screening start?

A

40, or sooner with additional risk factors

38
Q

When should lipid screening occur?

A

40 for men, 50 for women. Earlier if risk factors present.

39
Q

What age do Pap tests stop?

A

69 it past 3 in last 10 years were clear

40
Q

When would we test for HPV?

A

30YO+, only used in the case of specific results

41
Q

Mammograms should start at age

A

50

42
Q

Mammograms should occur how often

A

Every 2 years

43
Q

How much radiation in mammogram

A

Low dose, equivalent of 7 weeks background radiation

44
Q

Screening for colon cancer starts at

A

50, or 10 years before 1st degree relative was diagnosed

45
Q

FOBT occurs how often

A

Every 2 years

46
Q

When is pneumococcal vaccine indicated early?

A

Adults with higher risk for pneumonia - diabetes, copd, asthma, CHF, asplenia, liver disease

47
Q

What age is the pneumococcal vaccine indicated in general population?

A

Age 65

48
Q

Osteoporosis screening is conducted how often

A

Every 5 years for low risk, 1-3 doe high

49
Q

What age is osteoporosis screening started at

A

65

50
Q

How often should adults get tetanus booster

A

Every 10 years

51
Q

When should adults get tdap

A

Once in adulthood

52
Q

Who is shingles vaccine recommended for?

A

Adults older than 50 years old

53
Q

What age does colon cancer screening stop for average people?

A

74

54
Q

How often is lung cancer screened for

A

Annually - but if three are normal then you stop

Clerkship Prep (34 decks)

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