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Kin 157 > Slide 12 - Health Screening > Flashcards

Slide 12 - Health Screening Flashcards

1
Q

What is health screening

A

Test that look for diseases before you have symptoms

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2
Q

Screening tests can find what early

During this it is

A

Disease

Easier to treat

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3
Q

Health screening depends on

A

Age
Sex
Family history
Having risk factors

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4
Q

What are the 6 steps of health screening evaluation

A

Determine readiness for activity

Identify signs and symptoms of disease

Desired exercise intensity

Medical history

Lifestyle history

Informed consent

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5
Q

Atherosclerotic cardiovascular disease risk factors:

Age

A

> = 45 yr in males

> = 55 in yr females

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6
Q

Atherosclerotic cardiovascular disease risk factors:

Family history

A

< 55 yr males

< 65 yr females

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7
Q

Atherosclerotic cardiovascular disease risk factors

Cigarette smoking:

A

< 6 month exposure

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8
Q

Atherosclerotic cardiovascular disease risk factors:

Obesity

A

BMI >= 30

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9
Q

Atherosclerotic cardiovascular disease risk factors:

Hyper tension

A

SBP >= 140 mmHg

DBP >= 90mmHg

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10
Q

Atherosclerotic cardiovascular disease risk factors:

Dyslipidernia

A

LDL >= 130 mg/dl

HDL < 40 mg/dl

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11
Q

Atherosclerotic cardiovascular disease risk factors:

Diabetes

A

Fasting plasma glucose >= 126 mg/dL

OGTT >= 200 mg/dl

HbA1C >= 6.5%

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12
Q

Total cholesterol:
Desirable
Borderline High
High

A

<200mg/dL

200-239 mg/dL

> = 240 mg/dL

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13
Q 
LDL cholesterol
Optimal
Near optimal/above optimal
Borderline high
High
Very high
A

<100mg/dL

100-129 mg/dL

130-159 mg/dL

160-189 mg/dL

> =190 mg/dL

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14
Q 
Triglyeride
Normal
Borderline high
High
Very high
A

<150 mg/dL

150-199 mg/dL

200-499 mg/dL

> =500 mg/dL

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15
Q

HDL cholesterol
Low
High

A

< 40 mg/dL (increases CHD risk)

> =60 mg/dL (decreases CHD risk)

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16
Q

What is the pre requisite to do the TRIFIT

A

Completion of cholesterol test

Blood press measurement

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17
Q

How many values do you pick to report in the TRIFIT

A

2

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18
Q

The TRIFIT requires health questionnaires that include

A

CHD risk

Cancer risk

Diabetes risk

Nutrition

Prevention

Stress

Depression

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19
Q

What does cholestech do

A

Screen for cholesterol and glucose

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20
Q

Reflectance photometry involves

A

RBCs separated from plasma

Plasma interacts with reagents on pads

Colour changes

Measures amount of reflected light

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21
Q

Cholestech also involves

A

Optics check

Controls

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22
Q

What are the total error guidelines in NCEP for:

Total cholesterol
HDL Chol
LDL Chol
Triglycerides

A

+- 8.9%

+-13%

+-12%

+-15%

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23
Q

What is the total error for glucose in NCEP

A

+- 11%

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24
Q

The NCEP procedure requires

A

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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25
Q

When collecting blood in capillary tube make sure to

A

Use lithium heparin anticoagulant

Exact volume taken 35 yL

No air bubbles

26
Q

Where should you dispose of the used supplies

A

Biohazard

Sharps container

Trash

27
Q

What does biohazard waste consist of

A

Cassettes and anything with blood that is not sharp

28
Q

What does sharps waste consist of

A

Lancets and capillary tubes

29
Q

What does trash waste consist of

A

Paper and any waste without blood

30
Q

PAR-Q is the test to check whether you have undiagnosed diseases, such as cardiovascular diseases

A

False

31
Q

Having diabetes is one of the risk factors for atherosclerotic cardiovascular disease

A

True

32
Q

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

A

True

33
Q

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

A

False

34
Q

HDL ≥ 60 mg/dL is considered to be a negative risk factor

A

True

35
Q

________ is one of the clinical tests that determines if a client has normal ranges for plasma cholesterol levels or require further analysis

A

Blood chemistry profile

36
Q

Desirable range for total cholesterol level in the blood is ________

A

<200 mg/dL

37
Q

Optimal range for LDL cholesterol level in the blood is ________

A

<100 mg/dL

38
Q

If your fasting plasma glucose level is _______, you are considered to be diabetic

A

> 125 mg/dL

39
Q

According to American Diabetes Association, plasma glucose level 125 mg/dL after oral glucose tolerance test is considered to be ____

A

Normal

40
Q

According to the National Cholesterol Education Program (NCEP, see lab 12 manual), total cholesterol level 240 mg/dL is considered to be ____

A

High

41
Q

Which of the following describes proper disposal of used Cholestech cassettes

A

They should be disposed of in a red biohazard bag

42
Q

Which of following is a healthy, or desirable, level for total cholesterol

A

<200 mg/dL

43
Q

HDL is high density lipoprotein that makes up about 20-30% of total cholesterol, and moves cholesterol from vessels to the liver

A

True

44
Q

Atherosclerotic cardiovascular disease risk factor for dyslipidemia is positive present if LDL level is 150 mg/dL

A

True

45
Q

Atherosclerotic cardiovascular disease risk factor for cigarette smoking is positive present if the patient quit smoking 8 months ago

A

False

46
Q

Atherosclerotic cardiovascular disease risk factor for family history is positive present if the patient’s mother had revascularization when she was 66 years old

A

False

47
Q

Atherosclerotic cardiovascular disease risk factor for obesity is positive present if the patient’s BMI is 25 kg/m²

A

False

48
Q

Atherosclerotic cardiovascular disease risk factor for age is positive present if the patient is male and 45 years old

A

True

49
Q

How many positive risk factors are there

How many negative

A

8

1

50
Q

What type of diseases does Family history require

A

Myocardial infarction

Conornary revascularisation

Sudden death

51
Q

When is cigarette smoking classified as a positive risk factor

A

Current smoker

Previously smoked within 6 months

Exposed to environmental smoke

52
Q

When is physical inactivity a positive risk

A

When not participating in 30 mins of moderate intensity for 3 days of the week for 3 months

53
Q

When is obesity a positive risk

A

> = 30 BMI

Waist girth .>102cm male

Waist girth >88cm women

54
Q

When is hypertension a positive risk

A

SBP >= 140
DBP >= 90
On medication

55
Q

When is dyslipidermia a positive risk

A

LDL >= 130

HDL < 40

LDL and HDL show positive

On lipid lowering medication

Total Chol >= 200

56
Q

When is Dyslipidermia absent neutral?????

A

When HDL is above 40 but less than 60

57
Q

When is Dyslipidermia negative present????

A

When LDL is above 130 or total cholesterol is above 200, but HDL is above 60

58
Q

When is Diabetes positive risk

A

Fasting plasma glucose >= 126

OGTT >=200

HbA1C >= 6.5%

59
Q

For HbA1C, what are the values for:

Normal
Prediabetes
Diabetes

A

< 5.7%

5.7 - 6.4

> = 6.5

60
Q

For Fasting plasma glucose, what are the values for:

Normal
Prediabetes
Diabetes

A

< 100

100 - 125

> = 126

61
Q

For OGTT, what are the values for:

Normal
Prediabetes
Diabetes

A

< 140

140 - 199

> = 200

Kin 157 (24 decks)

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