Slide 12 - Health Screening Flashcards by Deleted Deleted

What is health screening

Test that look for diseases before you have symptoms

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Screening tests can find what early

During this it is

Disease

Easier to treat

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Health screening depends on

Age
Sex
Family history
Having risk factors

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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

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Atherosclerotic cardiovascular disease risk factors:

Age

> = 45 yr in males

> = 55 in yr females

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Atherosclerotic cardiovascular disease risk factors:

Family history

< 55 yr males

< 65 yr females

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Atherosclerotic cardiovascular disease risk factors

Cigarette smoking:

< 6 month exposure

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Atherosclerotic cardiovascular disease risk factors:

Obesity

BMI >= 30

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Atherosclerotic cardiovascular disease risk factors:

Hyper tension

SBP >= 140 mmHg

DBP >= 90mmHg

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Atherosclerotic cardiovascular disease risk factors:

Dyslipidernia

LDL >= 130 mg/dl

HDL < 40 mg/dl

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Atherosclerotic cardiovascular disease risk factors:

Diabetes

Fasting plasma glucose >= 126 mg/dL

OGTT >= 200 mg/dl

HbA1C >= 6.5%

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Total cholesterol:
Desirable
Borderline High
High

<200mg/dL

200-239 mg/dL

> = 240 mg/dL

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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

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Triglyeride
Normal
Borderline high
High
Very high

<150 mg/dL

150-199 mg/dL

200-499 mg/dL

> =500 mg/dL

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HDL cholesterol
Low
High

< 40 mg/dL (increases CHD risk)

> =60 mg/dL (decreases CHD risk)

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What is the pre requisite to do the TRIFIT

Completion of cholesterol test

Blood press measurement

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How many values do you pick to report in the TRIFIT

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The TRIFIT requires health questionnaires that include

CHD risk

Cancer risk

Diabetes risk

Nutrition

Prevention

Stress

Depression

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What does cholestech do

Screen for cholesterol and glucose

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Reflectance photometry involves

RBCs separated from plasma

Plasma interacts with reagents on pads

Colour changes

Measures amount of reflected light

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Cholestech also involves

Optics check

Controls

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What are the total error guidelines in NCEP for:

Total cholesterol
HDL Chol
LDL Chol
Triglycerides

+- 8.9%

+-13%

+-12%

+-15%

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What is the total error for glucose in NCEP

+- 11%

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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

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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