Thursday... Flashcards
Looking for a specific disease that is in a pre-symptomatic state
screening
Ex: performing a mammogram when breast cancer is suspected
diagnostic testing
If you are going to screen for a disease it should be (blank)
serious
**cause significant morbidity and mortality
Is early detection really beneficial?
it’s hard to say; could you help the patient more now than you could if you just waited for symptoms?
This should be considered when deciding whether or not to screen for a disease
epidemiology
**more prevalent diseases more likely to be screened for
Screening for rare diseases leads to (blank) results
false positive
You need to consider whether or not (blank) is available upon positive screening
treatment
Would you rather a screening test be very sensitive or very specific?
sensitive
**you want to be able to pick up all chances, and then you can do a confirmatory test to weed out false positives
What are the things we currently screen for?
HTN dyslipidemia Type II diabetes lung cancer breast cancer
What is the current recommendation for screening of breast cancer?
biennial screening (every other year) for women ages 50-74 recommend against self breast exams
**don’t check your own breasts, don’t really need a mammogram, or a PAP - just don’t even go to the doc
Current recommendation for colo-rectal screening
screen men and women age 50-75 via colonoscopy
Current recommendations for Chylamydia and Gonorrhea?
all women 24 and younger who have ever had sex should be screened (CDC recommends annually)
Current recommendation for PAP smear?
every 3 years in women 21-65
Current recommendations for prostate cancer?
recommend against PSA-based screening for prostate cancer
