USPSTF IV Flashcards
Which has a bigger benefit:
A) counseling young students, childrens aged 6months-24 years about minimizing exposure to UV radiation OR
B) Offering counseling to adults >24 with fair skin about exposure to UV radiation
A
What percentage of melanoma accounts for skin cancer, and skin cancer deaths?
2% of all skin cancers, but 80% of deaths
What is the difference between a delay and disorder?
Delay=slower
Disorder-Qualitatively different from typical development
What is the B rating for statin use as the primary prevention of cardiovascular disease in adults
Adults 40-75 with No history of CVD >1 CVD risk factors and calc 10 year CVD event risk >10% should start a low to moderate dose statin
What is the C rating for statin use for the primary prevention of cardiovascular disease in adults?
Adults aged 40-75 with NO histor of CVD >1 CVD risk factors no calc 10 year CVD event risk of 7.5%-10% should have discussion with PCP
What characterizes dyslipdemia?
LDL>130mg/dL
HDL<40mg/dL
What are Statins
Lipid lowering medication
What is the A rating for screening for syphilis in nonpregnant adults/
Screen for syphilis in all nonpregnant adults and adolescents who are at increased risk for infection
What is the initial screening test for syphilis?
Venereal Disease research lab (VDRL)
Rapid Plasma Reagin (RPR)
What are the confirmation test for syphilis?
Fluorescent tremponermal antibody detection test (FTA-ABS)
Treponema pallidum particle agglutination (TPPA)
What is the treatment for syphilis?
Parenteral benzathine
Penicillin G
What is the A rating for screening for syphilis in pregnant women?
Screen all pregnant women for syphilis infection *first prenatal visit
What is the screening test and treatment for testicular cancer?
Self exam
Treatment: orchiectomy
What is the treatment for thyroid cancer?
Total or partial lymphadenectomy
Radioactive iodine depending on disease status
What is the primary screening test for thyroid dysfunction?
TSH level (thyroid stimulating hormone)
What is HYPOthyroidism treated with?
Oral T4 or levothyroxine
*Increase of TSH level
What is HYPERthyroidism treated with?
Antithyroid medications (methimazole)
Ablation therapy
*Lower TSH level
Should pregnant women be allowed to use drugs for the cessation of tobacco smoking?
NO
What are the pharmacotherapy for smoking cessation?
NRT, buproprion SR, varencicline (chantix)
*combination works better than NRT alone
What are the standard drink levels?
12oz beet (5% alc)
5oZ wine (12% alc)
1.5oZ liquor (40% alc0
What is considered risky use when drinking?
> 4 drinks/day or 14 drinks/week men
3 drinks/day or 7 drinks/week women and men 65 and older
What is considered hazardous use when drinking?
Alcohol use that increase the risk of future negative health consequences
What is the screening test for alcohol?
Cut down, annoyed, guilty, eye opener (CAGE)
What are the screening tests for unhealthy drug use/
National institute on Drug Abuse Quick Screen
*+ screens may need to be ordered and referred for diagnostic assessment
