Slide 12 - Health Screening Flashcards
What is health screening
Test that look for diseases before you have symptoms
Screening tests can find what early
During this it is
Disease
Easier to treat
Health screening depends on
Age
Sex
Family history
Having risk factors
What are the 6 steps of health screening evaluation
Determine readiness for activity
Identify signs and symptoms of disease
Desired exercise intensity
Medical history
Lifestyle history
Informed consent
Atherosclerotic cardiovascular disease risk factors:
Age
> = 45 yr in males
> = 55 in yr females
Atherosclerotic cardiovascular disease risk factors:
Family history
< 55 yr males
< 65 yr females
Atherosclerotic cardiovascular disease risk factors
Cigarette smoking:
< 6 month exposure
Atherosclerotic cardiovascular disease risk factors:
Obesity
BMI >= 30
Atherosclerotic cardiovascular disease risk factors:
Hyper tension
SBP >= 140 mmHg
DBP >= 90mmHg
Atherosclerotic cardiovascular disease risk factors:
Dyslipidernia
LDL >= 130 mg/dl
HDL < 40 mg/dl
Atherosclerotic cardiovascular disease risk factors:
Diabetes
Fasting plasma glucose >= 126 mg/dL
OGTT >= 200 mg/dl
HbA1C >= 6.5%
Total cholesterol:
Desirable
Borderline High
High
<200mg/dL
200-239 mg/dL
> = 240 mg/dL
LDL cholesterol Optimal Near optimal/above optimal Borderline high High Very high
<100mg/dL
100-129 mg/dL
130-159 mg/dL
160-189 mg/dL
> =190 mg/dL
Triglyeride Normal Borderline high High Very high
<150 mg/dL
150-199 mg/dL
200-499 mg/dL
> =500 mg/dL
HDL cholesterol
Low
High
< 40 mg/dL (increases CHD risk)
> =60 mg/dL (decreases CHD risk)
What is the pre requisite to do the TRIFIT
Completion of cholesterol test
Blood press measurement
How many values do you pick to report in the TRIFIT
2
The TRIFIT requires health questionnaires that include
CHD risk
Cancer risk
Diabetes risk
Nutrition
Prevention
Stress
Depression
What does cholestech do
Screen for cholesterol and glucose
Reflectance photometry involves
RBCs separated from plasma
Plasma interacts with reagents on pads
Colour changes
Measures amount of reflected light
Cholestech also involves
Optics check
Controls
What are the total error guidelines in NCEP for:
Total cholesterol
HDL Chol
LDL Chol
Triglycerides
+- 8.9%
+-13%
+-12%
+-15%
What is the total error for glucose in NCEP
+- 11%
The NCEP procedure requires
Warm finger
Collect blood in capillary tube
After collecting blood in capillary tube, transfer to cassette within 5 mins and analysis immediately
When collecting blood in capillary tube make sure to
Use lithium heparin anticoagulant
Exact volume taken 35 yL
No air bubbles
Where should you dispose of the used supplies
Biohazard
Sharps container
Trash
What does biohazard waste consist of
Cassettes and anything with blood that is not sharp
What does sharps waste consist of
Lancets and capillary tubes
What does trash waste consist of
Paper and any waste without blood
PAR-Q is the test to check whether you have undiagnosed diseases, such as cardiovascular diseases
False
Having diabetes is one of the risk factors for atherosclerotic cardiovascular disease
True
If your client is 44 years old male, and his father had a heart attack when he was 45 years old. He has a positive risk factor for family history
True
If your client is 44 years old male, and his father had a heart attack when he was 45 years old. He has a positive risk factor for age
False
HDL ≥ 60 mg/dL is considered to be a negative risk factor
True
________ is one of the clinical tests that determines if a client has normal ranges for plasma cholesterol levels or require further analysis
Blood chemistry profile
Desirable range for total cholesterol level in the blood is ________
<200 mg/dL
Optimal range for LDL cholesterol level in the blood is ________
<100 mg/dL
If your fasting plasma glucose level is _______, you are considered to be diabetic
> 125 mg/dL
According to American Diabetes Association, plasma glucose level 125 mg/dL after oral glucose tolerance test is considered to be ____
Normal
According to the National Cholesterol Education Program (NCEP, see lab 12 manual), total cholesterol level 240 mg/dL is considered to be ____
High
Which of the following describes proper disposal of used Cholestech cassettes
They should be disposed of in a red biohazard bag
Which of following is a healthy, or desirable, level for total cholesterol
<200 mg/dL
HDL is high density lipoprotein that makes up about 20-30% of total cholesterol, and moves cholesterol from vessels to the liver
True
Atherosclerotic cardiovascular disease risk factor for dyslipidemia is positive present if LDL level is 150 mg/dL
True
Atherosclerotic cardiovascular disease risk factor for cigarette smoking is positive present if the patient quit smoking 8 months ago
False
Atherosclerotic cardiovascular disease risk factor for family history is positive present if the patient’s mother had revascularization when she was 66 years old
False
Atherosclerotic cardiovascular disease risk factor for obesity is positive present if the patient’s BMI is 25 kg/m²
False
Atherosclerotic cardiovascular disease risk factor for age is positive present if the patient is male and 45 years old
True
How many positive risk factors are there
How many negative
8
1
What type of diseases does Family history require
Myocardial infarction
Conornary revascularisation
Sudden death
When is cigarette smoking classified as a positive risk factor
Current smoker
Previously smoked within 6 months
Exposed to environmental smoke
When is physical inactivity a positive risk
When not participating in 30 mins of moderate intensity for 3 days of the week for 3 months
When is obesity a positive risk
> = 30 BMI
Waist girth .>102cm male
Waist girth >88cm women
When is hypertension a positive risk
SBP >= 140
DBP >= 90
On medication
When is dyslipidermia a positive risk
LDL >= 130
HDL < 40
LDL and HDL show positive
On lipid lowering medication
Total Chol >= 200
When is Dyslipidermia absent neutral?????
When HDL is above 40 but less than 60
When is Dyslipidermia negative present????
When LDL is above 130 or total cholesterol is above 200, but HDL is above 60
When is Diabetes positive risk
Fasting plasma glucose >= 126
OGTT >=200
HbA1C >= 6.5%
For HbA1C, what are the values for:
Normal
Prediabetes
Diabetes
< 5.7%
5.7 - 6.4
> = 6.5
For Fasting plasma glucose, what are the values for:
Normal
Prediabetes
Diabetes
< 100
100 - 125
> = 126
For OGTT, what are the values for:
Normal
Prediabetes
Diabetes
< 140
140 - 199
> = 200
