Well Visits and Screening - Williams

Question 1

T/F: healthcare screening is harmful

Answer 1

true

Question 2

What are the disease characteristics to consider when screening?

Answer 2

Seriousness
Effectiveness of early detection
Epidemiology
Availability of treatment

Question 3

Define screening?

Answer 3

Looking for a specific disease that is in a pre-symptomatic state.

Question 4

What are the test characteristics to consider when screening?

Answer 4

Cost, ease of testing, sensitivity, specificity

Question 5

T/F: a disease should be serious if you are going to screen for it

Answer 5

true

Question 6

When screening, there must be (blank) that will positively influence the patient outcome

Answer 6

benefit of early detection

Question 7

Screening for rare diseases may lead to more (true positive/false positive) cases

Answer 7

false positive

Question 8

All pts older than (blank) should be screened for HTN

Answer 8

18

Question 9

The USPSTF recommends that all males older than (blank) and all males and females at risk older than (blank) should be screened for lipid disorders

Answer 9

males >34

males and females at risk >20

Question 10

The NCEP recommends that all adults over (blank) should have a fasting lipid profile every 5 years

Answer 10

20

Question 11

USPSTF recommends CT scan for lung cancer in adults aged 55-80 with a (blank) pack-year history who have quit within the last fifteen years

Answer 11

30 pack year Hx

Question 12

All patients with a BP >135/85 should be screened for (blank)

Answer 12

DM Type II

Question 13

T/F: screening in normotensive adults for DM type II is recommended if there is family Hx

Answer 13

false; no recommendations for normotensive

Question 14

mammogram should be done (every year/every other) for women 50-74

Answer 14

every other

Question 15

T/F: USPSTF says mammogram before fifty is only required if family history is present

Answer 15

false; up to patient

Question 16

T/F: USPSTF encourages patients to do a monthly breast exam

Answer 16

false; recommend against!

Question 17

ACS says that you should start annual mammograms at what age?

Answer 17

40

Question 18

Women in 20s and 30s should have a clinical breast exam every (blank) years, according to the ACS

Answer 18

every three

Question 19

T/F: breast exams should be started at 30 according to the ACS

Answer 19

false; 20

Question 20

T/F: women at high risk may start mammograms earlier according to the ACS

Answer 20

true

Question 21

What are the three methods of colorectal screening to be used on men and women aged 50-75?

Answer 21

flex sig, colonoscopy, FOBT

Question 22

T/F: we don’t screen for colon cancer after 75

Answer 22

true; definitely not over 85, over 75 based on pt case

Question 23

Is CT or fecal DNA worthwhile for screening for colon cancer?

Answer 23

nope

Question 24

What is the group of people that should be screened for G/C?

Answer 24

all women 24 and younger that have eve had sex, test annually

Question 25

What age group should be screened for HIV?

Answer 25

15-65

Question 26

How often should a PAP be done? Between what ages?

Answer 26

every three years from 21-65

Question 27

Between 30-65, PAP and (blank) should be done every 5 y ears

Answer 27

HPV

Question 28

T/F: PSA testing is not recommended

Answer 28

true

Question 29

How do you screen for AAA?

Answer 29

one-time US in men 65-75 who have ever smoked

Question 30

What do you not screen for ever?

Answer 30

``` Thyroid disease Liver disease Kidney disease Bladder Cancer Ovarian Cancer Vitamin D Deficiency ```