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Differential Diagnosis > Screening in the Patient Interview > Flashcards

Screening in the Patient Interview Flashcards

1
Q

what may influence recollection of what is going on during the pt interview?

A

personality and mental state

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2
Q

what is telescoping by patients

A

forgetting, underreporting or combining separate health events into a single memory

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3
Q

functionally illiterate

A

may read and write simple sentences though not adequately for everyday needs

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4
Q

below basic health literacy levels

A

cannot read healthcare provider instructions or food/medication labels

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5
Q

what is the optimal screening for prediction of referral and outcome

A

OSPRO - red flag tool

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6
Q

OSPRO 23 item version; how accurate is it

A

100%

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7
Q

OSPRO 10 item version; how accurate is it

A

94%

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8
Q

what is the OSPRO-YF

A

yellow flag tool
screening tool proposed to assess pain-associated psychological distress

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9
Q

accuracy of the OSPRO-YF 17 item version

A

85%

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10
Q

accuracy of OSPRO-YF 10 item version

A

81%

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11
Q

gender/age implications: guillain-barre syndrome

A

men
any age

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12
Q

gender/age implications: multiple sclerosis

A

women
15-35

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13
Q

gender/age implications: abdominal aortic aneurysm

A

men
40-70

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14
Q

gender/age implications: breast cancer

A

women
45-70

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15
Q

gender/age implications: hodgkins

A

men
20-40

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16
Q

gender/age implications: osteoid osteoma

A

10-20 yr old

17
Q

gender/age implications: RA

A

women
20-50

18
Q

gender/age implications: skin cancer

A

men = women
increasing with age

19
Q

gender/age implications: gout

A

men
40-59

20
Q

gender/age implications: gynecologic

A

20-45

21
Q

gender/age implications: prostatitis

A

men
40+

22
Q

gender/age implications: shingles

A

60+

23
Q

gender/age implications: vascular claudication

A

women
40-60+

24
Q

average age of menopause

A

51 typically, 48-54 y/o

25
Q

hysterectomy

A

removal of uterus
brings on menopause within 2 years

26
Q

ooporectomy

A

removal of ovaries
brings on menopause immediately

27
Q

what is a red flag with menopause?

A

spontaneous bleeding after this event

28
Q

who is at risk for substance abuse

A

teens/adults with ADD/ADHD
hx of PTSD
baby boomers with a hx of substance abuse
individuals with sleep disorders
individuals with depression and/or anxiety disorders
transgender pt’s

29
Q

CAGE questionnaire - what is it used for

A

substance abuse
one yes suggests a need for discussion and follow up
two or more yes answers indicate a problem with alcohol

Differential Diagnosis (10 decks)

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