2021 CTFPHC + NACI Flashcards
AAA
A) Age group
B) Sex
C) Frequency
D) Test
AAA
A) Age 65-80
B) Men
C) One off
D) Ultrasound
Breast cancer
A) Age group
B) Sex
C) Frequency
D) Test
E) Recommendation type
Breast Cancer
A) Age 50-74
B) Women
C) Every 2-3 years
D) Mammogram
E) Conditional recommendation
- the decision to undergo screening is conditional on the relative value that a woman places on possible benefits and harms from screening
- Care providers should engage in shared decision-making with women as those who place a higher value on avoiding harms as compared to a modest absolute reduction in breast cancer mortality may choose to not undergo screening.
Cervical cancer
A) Age group
B) Sex
C) Frequency
D) Test
Cervical cancer
A) Age 25-69 years
B) Female
C) Every 3 years
D) Cytology - liquid cytology preferred over conventional
Colorectal cancer
A) Age group
B) Sex
C) Frequency
D) Test
Colorectal cancer
A) Age 50-74
B) Male and female
C) 2y / 10y
D) Guiac fecal occult blood (gFOBT) or fecal immunochemical test (FIT every 2y / flexible sigmoidoscopy every 10y
Lung cancer
A) Age range
B) Sex
C) Frequency
D) Test
E) Smoking history
Lung cancer
A) Age 55-74
B) Male or female
C) Annually for up to 3 occasions
D) Computed tomography
E) 30 pack-year smoking history
Asymptomatic bacteruria
A) Population
B) Frequency
C) Test
Asymptomatic bacteruria
A) Pregnant woman in first trimester
B) Once in first trimester
C) Urine culture
T2DM
A) Tool to determine risk level?
B) Low-moderate risk recommendation
C) High risk recommendation
D) Very high risk recommendation
T2DM
A) Validated risk calculator (FINDRISC or CANRISK)
B) Low-moderate - Not routinely screening T2DM
C) High risk - routine screening every 3–5 years with A1C
D) Very high risk - routine screening annually with A1C
Hypertension
A) Age group
B) Sex
C) Frequency
D) Test
HTN
A) Age 18 years and older
B) Male and female
C) At all appropriate primary care visits
D) Canadian Hypertension Education Program CHEP recommendations for office and out-of-office (ambulatory) blood pressure measurement.
- the CHEP criteria for assessment and diagnosis of hypertension should be applied to determine whether the patient meets diagnostic criteria for hypertension.
Obesity in adults
A) Recommendation for screening
B) Recommendation for intervention
Obesity in children
C) Recommendatino for screening
D) Recommendation for intervention
Adults
A) Measuring height, weight and calculating BMI at appropriate primary care visits
B) Overweight, obese, or high risk of diabetes: recommend that practitioners offer or refer to structured behavioural interventions aimed at weight loss
Children
C) Growth monitoring at all appropriate primary care visits using the WHO growth charts for Canada
D) Primary care practitioners offer or refer to structured behavioural interventions aimed at healthy weight management
Smoking youth
A) Age group
B) Prevention recommendation
C) Treatment recommendation
D) List 4 items a brief smoking intervention for youth could include
Smoking
A) Age 5-18 years
B) Asking children and youth or their parents about tobacco use and offering brief information and advice at appropriate primary care visits to prevent tobacco smoking
C) Asking children and youth and/or their parents about tobacco use by the child or youth and offering brief information and advice at appropriate primary care visits to treat tobacco smoking
D)
- verbal communication about patient attitudes and beliefs
- providing information on and exploring individuals understanding of risks of smoking
- discussing strategies for dealing with the influence of peers
- sharing of printed or electronic material
A) List 3 elements of a grading of ‘high’ for quality of evidence for CTFPHC recommendations
B) What is the main conclusion you can draw from a quality evidence grading of ‘high’
A)
- there is a wide range of studies included in the analyses with no major limitations
- there is little variation between studies
- the summary estimate has a narrow confidence interval
B) High confidence that the true effect lies close to that of the estimate of the effect
In addition to quality of evidence, list 3 additional criteria for that influence CTFPHC strength of recommendation
- The balance between desirable and undesirable effects;
- The variability or uncertainty in values and preferences of citizens; and
- Whether or not the intervention represents a wise use of resources.
List 3 key elements that form a conditional recommendation
- The balance between desirable and undesirable effects is small
- The quality of evidence is lower
- There is more variability in the values and preferences of individuals
i. e. uncertainty exists
List 4 key stakeholders to consider for making large-scale screening recommendations (e.g. CTFPHC)
- Patients
- Clinicians
- Policy makers
- Developers of quality measures
List 6 infectious diseases that infants are recommended to be immunised against before 12 months of age
- Hepatitits B
- S. pneumoniae
- Poliovirus
- Haemophilus influenzae B
- Rotavirus
- Diphtheria
- Pertussis
- Tetanus (Closridium tetanii)
- Influenza
