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FNP 1 > Young Adult > Flashcards

Young Adult Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

Erikson stage for young adult

A

Intimacy vs Isolation

Gain independence, form intimate relationships. If not achieved will feel more isolated and not function as well in society.

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2
Q

3 Leading causes of death ages 20-34 per CDC

A
  1. Accidents
  2. Suicide
  3. Assault (homicide)
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3
Q

3 Leading causes of death ages 35-44 per CDC

A
  1. Accidents
  2. Malignant Neoplasms
  3. Heart Disease
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4
Q

2 screenings you should definitely do with young adults

A
  1. Alcohol Misuse (CAGE)
    - ask specifics
  2. Tobacco Use
    - ask all pts.
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5
Q

Who should you test for gonorrhea and chlamydia?

A

All young women 24 and younger who are sexually active

Also, test if > 24 and at high risk

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6
Q

Who do you screen for Heb B and C

A

only high-risk individuals (not a routine screening)

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7
Q

Who do you test for HIV?

A

Get a baseline on all patients then screen at intervals based on their amt of high-risk behaviors

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8
Q

How often do those at high risk for HIV need to be screened?

A

yearly

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9
Q

Is it recommended to screen for syphilis on a yearly basis?

A

No. identify those at high risk and just screen those patients

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10
Q

What kind of behavior counseling do practitioners need to give to young adults?

A

proper diet and exercise for heart-healthy behaviors

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11
Q

Are there intervals to screen/ draw lipids?

A

Not at this time. (screen as needed and educate) identify those at high risk for cardiovascular disease

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12
Q

How often should you check blood pressure? BMI?

A

every visit

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13
Q

what should you do with your BP once you turn 40?

A

Check BP every day

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14
Q

What is recommended for women of childbearing age?

why?

A

take some sort of vitamin that has folic acid, at least 400 micrograms.
to prevent spinal cord defects

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15
Q

what to use to check for depression in young adults?

A

PHQ-2 to identify if there is a problem then they can use PHQ-9 or Beck’s Depression Inventory for more detail

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16
Q

What is needed to ask about intimate partner violence?

A

Do you feel safe at home?

Know local resources and referrals

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17
Q

Causes of anal cancer in males (avg age is 50)

A

HPV,
Immunodeficiency,
Smoking

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18
Q

what is natal sex?

A

sex assigned at birth

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19
Q

gender assigned according to genitals

A

birth-assigned sex

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20
Q

USPSTF rating for anal cancer screening

A

I

21
Q

At-risk groups for anal cancer

A

HIB
MSM w/out HIV
pts with hx of receptive anal intercourse

22
Q

Female screening NOT diagnostic test

A

Pap Smear

23
Q

the goal is to detect high grade squamous intraepithelial lesions (HSIL)

A

Pap Smear

24
Q

Usually benign lesion with high regression rate, particularly in adolescents and young adults

A

Low-Grade SIL (LSIL) found on pap smear

25
Q

ectocervical sample collected with a spatula and endocervical sample collected with a brush
both applied to one slide with immediate fixation
- not done much anymore

A

Conventional Slide Pap

26
Q

SurePath or ThinPrep
Increased detection of cervical disease, reflex HPV testing, STD testing,
+ more expensive and not equally available

A

liquid based cytology pap

27
Q

may use spatula and brush OR broom; then vigorously move sampling device in liquid; may place broom into the liquid of SurePath

A

liquid-based cytology pap

28
Q

for HPV testing if over 30 and both are negative screening can be extended to every_____
can be added as reflex testing in women < 30 years

A

5 years

29
Q

USPSTF level of recommendation for women 21-65 pap smear and women 30-65 in combo with HPV testing

A

A

30
Q

How often does the USPSTF recommend women aged 21-65 get screened for cervical cancer with cytology (pap)

A

every 3 years

31
Q

USPSTF recommendation for HPV testing women < 30 yrs.

A

D

32
Q

USPSTF recommendation for cervical cancer testing women < 21 yrs.

A

D

33
Q

USPSTF recommendation for cervical cancer screening in comen > 65 who have ad adequate prior screenings

A

D

34
Q

USPSTF recommendation for cervical cancer screening in women who have had a hysterectomy

A

D

35
Q

According to USPSTF would you continue doing pap smears on women who had a hysterectomy and still has a cervix

A

yes

36
Q

At what age should you start cervical cancer screening?

A

21

37
Q

What populations might need more frequent screenings

A

HIV infection
immunocompromised
exposure to diethylstilbestrol in utero
previous cancer tx for CIN 2, CIN 3, or cancer

38
Q

do women < 21 years of age need an internal pelvic exam?

A

No

39
Q

magnified illumination used to assess colposcopic features that determine the presence of normal or abnormal findings; biopsies can be taken and HPV tests done

A

Colposcopy

40
Q

used for further testing after an abnormal pap smear. requires specific training/ tools

A

Colposcopy

41
Q

What is recommended for women with + ASC-US pap smear result

A

reflex HPV testing (add on if test comes back abnormal)

42
Q

What is recommended for women with HPV positive ASC-US * (atypical squamous cells of abnormal significance)

A

colposcopy

43
Q

What is recommended for women LSIL (low grade squamous intra-epithelial lesion) (w/ either no HPV result or + HPV)

A

colposcopy

44
Q

What is recommended for women with CIN 2, CIN 3, CIn 2/3

A

excision, ablation may be used unless young or pregnant

45
Q

what to do if pap comes back w/ unsatisfactory results

what if this keeps happening?

A

repeat cytology in 2-4 months

if keeps happening recommend a colposcopy

46
Q

What to do if a pt aged 21-29 pap test comes back normal but there wasn’t any endocervical transformation zone noted?

A

This is normal for that age because hpV is normally found in the transformation zone … coontine routine screening in 3 years

47
Q

What to do if the female pt is > 30 years and HPV was negative?

A

continue with regular screening

48
Q

What to do if the HPV status is unknown from the pap smear in pt > 30 yrs?

A

Repeat cytology in 3 years instead of the 5

49
Q

In what pts is it most likely that on a pap there is no lesion or malignancy but the endocervical transformation zone is absent?
Why?

A

post-menopausal

the endocervical component gets pulled up into the Os

FNP 1 (18 decks)

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