Screening Flashcards

1
Q

What is the term for a person’s action, customs, beliefs, values, etc

A

Culture

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2
Q

What race has the highest incidence of colorectal CA?

A

African-Americans

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3
Q

What type of food is a risk factor for developing colorectal CA?

A

Red and processed meats

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4
Q

What is the major protective factor against developing colorectal CA?

A

Physical activity

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5
Q

What are the guidelines for screening for colorectal CA?

A

Age 50, unless personal or family h/o colorectal CA

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6
Q

Prostate CA is more common in what population?

A

African american (1:5 compared to 1:6)

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7
Q

African americans with a 1st degree relative has what chance of developing prostate CA? How does this compare to the general population?

A

1:3 compared to 1:6 for general population

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8
Q

When does prostate screening begin for the general population? African americans? High risk AAs?

A

General: 50
high risk: 45
Super high risk: 40

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9
Q

When should DREs start to be performed for black people?

A

40s

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10
Q

When should you not screen for prostate CA?

A

Life expectancy is less than 10 years

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11
Q

At what age is breast cancer more common in blacks? In whites?

A

40 more in whites

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12
Q

Breast cancer deaths are higher in what population?

A

Blacks

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13
Q

Early or late menarche is a risk factor for breast cancer?

A

Early

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14
Q

Early or late menopause is a risk factor for breast cancer?

A

Late

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15
Q

What is the correlation of weight with chances of developing breast CA?

A

increases to 2x with

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16
Q

True or false: breastfeeding for longer than 1 year has been shown to increase the risk of developing breast cancer

A

False–lowers

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17
Q

What is the screening recommendation for mammograms?

A

annually after 40 yo

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18
Q

When should clinical breast exams start?

A

annually in the 20s

19
Q

What is the infant mortality of blacks compared to the national average?

A

12.67 for black, 6.61 average

20
Q

What is the best time to have a baby, in terms of lowering infant mortality?

21
Q

What is the riskiest type of sex in terms of transmitting AIDS? Least?

A

Anal sex

Oral sex is least

22
Q

Which is more strongly correlated with AIDS: race or socioeconomic standing?

A

Socioeconomics

23
Q

Which two diseases occur more often in the hispanic population?

24
Q

What two comorbidities of DM are hispanics more likely to get?

A

ESRD (40% more likely)

Retinopathy (84% more likely)

25
True or false: hispanics are less likely to convert from prediabetes to diabetes compared to whites
False--more likely
26
Which three CAs, all from infectious agents, are hispanics more likely to develop?
Stomach (h.pylori) Liver (HBV, HCV) Uterine/cervical (HPV)
27
What are the screening recommendations for pap smears in the hispanic population?
Same as general
28
What two races have the highest incidence of suicide?
White | Native Americans
29
Why are native american suicides so concerning?
Happen so early (20-24)
30
Fetal alcohol syndrome is highest in which ethnic group?
Native americans
31
What are the two diseases more common to asian/pacific islanders?
TB | Osteoporosis
32
Why are asians/pacific islanders more susceptible to osteoporosis?
Small frames | Consume less Ca
33
What is the vaccine that will cause a positive TB result?
BCG
34
What is the preferred method for testing for TB in pts who have had the BCG vaccine?
QuantiFERON gold
35
Who should be screened for depression?
All adults
36
What is the prevalence of rape?
1:10 women
37
What percent of women have experienced severe physical violence?
25%
38
What percent of men have experienced severe physical violence?
14%
39
What are the symptoms of domestic abuse?
Drug abuse | Sleeping disruption
40
True or false: depression/suicide is a symptoms of domestic abuse?
True
41
True or false: PTSD can result from domestic abuse
True
42
What is the most important thing a physician can do about domestic violence?
Ask about it
43
What are the three major issues that are prevalent within the LGBT community?
Substance abuse Suicide Homelessness
44
Each episode of LGBT victimization increases the likelihood of self-harming behavior how many times (on average)?
2.5x