Varney's Ch 4 Health Promotion Across the Lifespan

Question 1

What are the 5 A’s in the USPSTF’s health behavior counseling?

Answer 1

1. Assess
2. Advise
3. Agree
4. Assist
5. Arrange

Question 2

Which level of prevention is vaccinations? Primary, Secondary, or Tertiary?

Answer 2

Primary

Question 3

Which level of prevention is “slowing or stopping disease progression”? Primary, Secondary, or Tertiary?

Answer 3

Tertiary

Question 4

Which level of prevention is screening such as mammography? Primary, Secondary, or Tertiary?

Answer 4

Secondary

Question 5

What are the USPSTF’s grade definitions?

Answer 5

A-high certainty of net benefit
B-high certainty of moderate benefit
C-moderate certainty of small benefit
D-moderate/high certainty of no benefit or harm
I-insufficient evidence to assess

Question 6

What is the teratogenic effect of Rubella to a fetus?

Answer 6

congenital rubella syndrome occurs when the mother is infected in the first 16 months of pregnancy.

Question 7

Which vaccines are live attenuated and are not recommended in pregnancy?

Answer 7

MMR
Varicella
Live attenuated flu

Question 8

What is the recommended dose of folic acid?

Answer 8

400-1000 mcg daily

Question 9

What is the recommended dose of Vitamin D for known deficiency?

Answer 9

1000-4000 IU/day

Question 10

What foods are a concern for listeria monocytogeneses?

Answer 10

Raw produce, meat, eggs, seafood, and dairy products.

Question 11

What is the concern to the fetus for smoking in the home?

Answer 11

low birth weight.

Question 12

Which cardiovascular medication is toxic and should be avoided in pregnancy?

Answer 12

Warfarin (Coumadin) when in T1 and >5 mg/day

Question 13

Should women taking ACE inhibitors be changed to a different medication for their cardiovascular risk?m

Answer 13

Yes. ACEs and ARBs can cause fetal malformations, oligohydramnios, FGR, and fetal death.

Question 14

What are the preferred anti-hypertension medications for pregnancy or pre-conception?

Answer 14

methyldopa or labetalol

Question 15

How long should a woman who has had bariatric surgery wait to concieve?

Answer 15

12-24 months

Question 16

What are the pregnancy complications associated with obesity?

Answer 16

1. hypertension
2. GDM
3. preterm birth
4. birth defects
5. perinatal death

Question 17

What anti-seizure medication should a woman with epilepsy be offered to reduce the teratogenic effect of valproic acid?

Answer 17

levetiracetam

Question 18

What are the pregnancy complications associated with hypothyroidism?

Answer 18

1. miscarriage
2. preterm birth
3. preeclampsia
4. placental abnormalities
5. low birth weight