screening Flashcards

1
Q

screening tests

A
  • less expensive / accurate
  • healthy ppl
  • groups
  • not a basis for tx
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2
Q

diagnostic test

A
  • more “
  • indications of. disease people
  • individual
  • basis “
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3
Q

types of screening tests

A
  • physical exam and history
  • lab test
  • imaging
  • genetic test
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4
Q

risk factors for breast cancer

A
  • fam history
  • radiation expo
  • breast density
  • ethnicity
  • menstrual periods
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5
Q

mammogram every …

A

2 years

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6
Q

sensitivity level of mammogram

A

70-80%

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7
Q

risk factors for cervical cancer pt1

A
  • HIV
  • smoking
  • greater no. of sexual partners
  • younger age for first time having sex
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8
Q

risk factors for cervical cancer pt 2

A
  • oral contraceptions for more than 5 years

- 4 or more pregnancies

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9
Q

screening process pt 1

A

RECRUITMENT- targeted pop. encouraged to participate
SCREENING- ‘’ ‘’ who are partcipate
ASSESSMENT- screened pop need 4 futher assessment

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10
Q

screening process pt 2

A

DIAGNOSIS - assessed particpants diagnosed w diease / condition
OUTCOME- reduced morality and morbidity from disease

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11
Q

types of screening

A

population based - offered to everyone in defined target group
Opportunistic- patients who consult a
health practitioner for some other purpose

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12
Q

Screening Test – Validity

A

test ability to identify

diseased vs non-diseased individuals

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13
Q

Validity has two components :

A

sensitivity

specificity

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14
Q

sensitivity

A

tests ability to identify correctly

all those who have the disease. (true +)

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15
Q

specificity

A

’’ ‘’ dont have disease (true -)

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16
Q

potential harms of screening

A

false + & - results
over diagnosis
patient anxiety

17
Q

how to reduce risk of colorectal cancer

A
  • avoid being overweight / eat well
  • be active
  • dont smoke
  • decrease alcohol intake
18
Q

bias in screening studies

A

selection bias -people who would come forward to be screened

length bias- overdiagnosis, some cancer are less. agresive and dont need to betreated