TBL Nov 29

Question 1

Screening tests example of what prevention?

Answer 1

Secondary - promote early detection

Question 2

Surgery is example of what prevention?

Answer 2

Tertiary - therapeutic + rehabilitative measures once disease is diagnosed

Question 3

When start screening for HTN?

Answer 3

18yo - BP during office visit

Question 4

When start screen lipid disorders in women? in men?

Answer 4

women - 45

men - 35

Question 5

Who take aspirin daily?

Answer 5

Men 45-79 to reduce risk MI

Question 6

Who get U/S for AAA?

Answer 6

Men 65-75 who have ever smoked

Question 7

Three ways to screen for colorectal cancer starting at age ___ ?

Answer 7

50
Fecal occult blood - annually
Sigmoidoscopy - 3-5 years
Colonoscopy - every 10 years

Question 8

How screen for lung CA in smokers?

Answer 8

55-80 w/ 30yr pack hx = annual CT of chest

Quit < 15 years ago annual CT of chest

Question 9

How screen obesity? Frequency?

Answer 9

BMI > 30

Every visit

Question 10

Screen who for T2DM?

Answer 10

Adults + HTN > 135/89 and/or hyperlipidemia

Question 11

Who get pneumococcal?

Answer 11

Adults 65+

(younger if COPD, smoker, IC, diabetes)

Question 12

When get meningococcus vaccine?

Answer 12

Age 11-12, booster age 16

think college dorm, army barracks

Question 13

How test for GC?

Answer 13

Urine acid amplification

Question 14

Who gets HPV vaccine?

Answer 14

Male 9-26

Female 13-26

Question 15

1 cause sudden cardiac death - youth?

Answer 15

Hypertrophic cardiomyopathy

2nd = anomalous coronary artery

Question 16

Youth has Marfan habitus, when refer to cardio for eval?

Answer 16

Any diastolic murmur

Systolic murmur 3/6 or louder

Question 17

What is usefulness of information equation?

Answer 17

Work

Question 18

POEM vs. DOE

Answer 18

Doe = disease oriented evidence - measures outcomes that are physiologic markers for disease – does not always translate into clinical medicine

Question 19

What is one treatment that actually helps w/ cardio?

Answer 19

Beta blocker for HF

- reduced mortality in moderate/severe disease

Question 20

What is P value of 0.05?

Answer 20

Means only 5% chance finding represent chance

Question 21

Sensitivity

Answer 21

Proportion of pt’s WITH disease with POSITIVE test

Question 22

Specificity

Answer 22

Proportion of pt’s WITHOUT disease with NEGATIVE test

Question 23

Equation for sensitivity?

Answer 23

True + / (true + and false neg)

Question 24

Equation for specificity?

Answer 24

True - / (true - and false positive)