Screening 👓 Flashcards
Osteoporosis screening in women
Above 65 years old should have a DEXA scan. If low body weight or increased risk of fractures start at 60 instead
AAA screening
Ultrasound one time in men above 65 who have ever smoked. Not for any woman, or men who haven’t smoked
General day-to-day safety recommendations from doctors to prevent injuries
Seat belts, helmet, not driving under the influence of alcohol. Screen women for domestic violence at each visit 
When do we screen for high cholesterol
In men age 35, with no specific risk factors. Repeat every five years in normal risk individuals. If men and women have risk factors for coronary artery disease screen routinely after age 20
When is screening for diabetes mellitus considered (clue: one specific disease)
In hypertensive patients
Is there a screening recommendations for carotid artery stenosis
No
Malaria prophylaxis if going to high risk area
Mefloquine. Chloroquine if patient pregnant
Rabies prophylaxis if patient going to India Asia or Mexico
Give rabies vaccine.
Can-do intradermally, but must do IM if patient has concurrent malaria prophylaxis (due to chloroquine interaction)
When to give Vaccine for travel hepatitis B
Working with indigenous population, having sex with indigenous population, receiving medical or dental care, stay in abroad for more than six months
 When to give Vaccine for travel typhoid
Developing countries. Can you give oral live attenuated (refrig) in immunocompetence or the polysaccharide vaccine (no fridge).
Went to give meningococcal vaccine booster.
Impatience between 16 and 21 years of age, if the primary vaccine was given before 16 years of age
A patient has no history of prior meningococcal vaccine. What shall we give if he is more than 21.
More than 21 years old. Administer if the patient is asplenic, has complement deficiency, HIV, exposure to community outbreak, travel to endemic area, living in close quarters with others. 
Advice to a patient, if travelling, to avoid travellers diarrhoea
Avoid raw food, avoid street vendors, loperamide if there is watery diarrhoea. If moderate to severe symptoms give fluoroquinolone or Macrobid
Polio vaccine for travel
Three doses of inactivated polio vaccine. Previously immunise patients to take a booster shot before travelling
Breast cancer screening
Mammography between ages 50 to 74, every one to 2 years. Patience with a very strong family history should consider prophylactic Tamoxifen
Cervical cancer screening
21 to 65 can do Pap smear every three years
30 to 65 can do co test every five years
Prostate cancer screening
For men only age less than 75
General population colon cancer screen
Colonoscopy after 10 years. Starting at 50. Can do sigmoidoscopy every 5 years. Annual fecal occults blood test.
Lynch syndrome colon cancer screening
Everyone to 2 years. Starting at 25
family member <60 yr Has colon cancer. When should colon cancer screening happen for this patient 
Screen every five years. Start screening at 40 years of age, or 10 years earlier than the diagnosis of family member
At what age should colon cancer screening stop
If normal colonoscopies prior, stop at 75
Patient had previous adenoma,: screening afterwards
Every 3 to 5 years
FAP. Screening regime
Every year, do sigmoidoscopy P at 12 years of age.
Patient who is the previous history of colon cancer. What’s the colon cancer screening now
One year after reception, 3 is after, then every five years after
You’re a GP. Which murmurs should have further investigation
Loud systolic murmur is, all diastolic murmur is, holosystolic murmur. Do echocardiogram
Which Murmurs do not need further investigation
Mid systolics, and very soft manners
Who gets the pneumococcal vaccine
Chronic disease patients who are less than 65 (PPSV23 Once). OCV13 and PPSV23 at 65. Everyone older than 65 (PCV13 once then PPSV23 8wks after then every 5 years).
BPH screening
Based on Hx and DRE and urinalysis. If life expectancy above 10 years do PSA
Lung cancer screening
Low-dose CT for adults age 55 to 80. Above 30 pack your history, who haven’t quit in the last 15 years
Diabetes mellitus screening
In all patients above 45. Or anyone who has the diabetic risk factors (high BMI, physical activity, first-degree relatives, just stational diabetes history, hypertension, CVD, PCOS, history of glucose intolerance)
Lynch syndrome patients, Other than colonscopy screening, what other screening do we have to do
Endometrial biopsy under 45
Inflammatory bowel disease colon cancer screening
Colonscopy 8 years after diagnosis. Can do every 5 years if only on the left colon. Do every 1-2 years
F
F
Vx before transplant
ABD intellectual property
Hep A and B. DTAP. Influenza. Pneumococcal
When a man turns 45, we start doing diabetes screening. Can you elaborate on this
Do HBa1 C. Every three years. If above 5.7 but not quite 6.5 we do the screening every year
Cochlear implants or CSF leak… need what Vx
Our pneumococcal
Live Vx?
Not for preg, or less than 1 year old (unless rotavirus). CD4 < 200
2, 4, 6 months old
Generally when Vx’s are given in kids. Usually three doses at these intervals
