Screening Flashcards
1
Q
Screening benefits
A
- Detect early pre sx
- Tx more effective if early
- Informed decisions
- Reduce chance or complications
- Prevent deaths
2
Q
Risks screening
A
- Not 100% accurate = FP or FN
- Difficult decisions
- Anxiety
- Can be missed
3
Q
Cervical ages
A
25-49 every 3 years
50-64 every 5 years
4
Q
breast ages
A
50-70 = 3 yearly mammogram
- 1400 lives saved a year
5
Q
bowel screening ages
A
60-74 every 2 years
- FIT test = posted
- abnormal = colonoscopy = normal, polyps, cancer (1/10)
6
Q
AAA screening
A
- year turn 65 one USS
- <3cm no action
- 3-4.4 12m
- .45-5.4 = 3m
- > 5.5 = 2ww
7
Q
neonatal blood spot screening
A
- 5-9 days of life
- tests 9 conditions
- hypothyroid, SCD, CF, inherited metabolic diseases etc.
8
Q
Newborn hearing test
A
- 4-5w of life
- automated otoacoustic emission test = earpiece and sounds/clicks = echo back
- 2nd test = automated auditory brainstem response = 3 sensors and headphones and clicks
9
Q
pregnancy infectious disease screen
A
- hep b
- HIV
- syphillis
- done by 10w
10
Q
screening downs, ed, pat
A
- Downs = T21
- Ed = T18
- P = T13
- combined = USS and PAPPA/BHCG
- quad = downs = plus inhibin a
11
Q
if downs screen +ve
A
- offered amniocentesis of CVS
- chorionic villus sampling = biopsy placenta
- amniocentesis = amniotic fluid
