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Family Medicine Boards 2020 > Health Promotion > Flashcards

Health Promotion Flashcards

1
Q

USPSTF grade A recommendation

A

high certainty of benefit

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2
Q

USPSTF grade B recommendation

A

recommends this service, high certainty of NET benefit

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3
Q

USPSTF grade C recommendation

A

Recommends selectively offering this service, net benefit is small

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4
Q

USPSTF grade D recommendation

A

Dont do it

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5
Q

USPSTF grade I recommendation

A

Inconclusive data

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6
Q

Definition of Obesity in adults

A

BMI > 25 is overweight

BMI > 30 is obese

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7
Q

Definition of Obesity in Pediatrics

A 
Overweight = BMI at or above 85th percentile for same age and sex
Obese = BMI at or above 95th percentil for children of same age and sex
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8
Q

What are the aerobic activity level recommendations for adults?

A

SOR C

Moderate activity 150 min/wk
Vigorous activity 75 min/wk

Even 10 minutes is beneficial

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9
Q

At what BMI should physicians refer adult pts to intensive multicomponent behavior interventions

A

> 30

B recommendation

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10
Q

At what age do you begin to screen kids for obesity

A

Age 6

B recommendation

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11
Q

Definition of heavy drinking

A

Women: more than 1 drink per day on average
Men: more than 2 drinks per day on average

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12
Q

Definition of binge drinking

A

Women: 4 or more during single episode
Men: 5 or more drinks during single episode

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13
Q

What are the two validated tools recommended by USPSTF to screen for alcohol abuse

A

CAGE and AUDIT

SOR A

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14
Q

What Audit score indicates strong likelihood of hazardous alcohol consumption. What score indicates dependence?

A

Hazardous consumption:

  • men 8
  • women 7

Dependence: 20

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15
Q

Definition of primary prevention

A

avoids development of a disease

Ex: immunizations

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16
Q

What gauge of needle reduces risk of adverse reaction to vaccinations?

A

25mm vs 16 mm

SOR A

17
Q

If someone misses a vaccination does the series need to be restarted?

A

NO

18
Q

Are antipyretics recommended for routine prophylaxis before immunizations?

A

NO

SOR A

19
Q

Is breastfeeding a contrainditation to vaccines?

A

NO

20
Q

Can you give both doses of meningitis vaccine on same day?

A

Yes, just use different sites

21
Q

At what age should children with hx of sexual assault be vaccinated against HPV?

A

9

22
Q

Which vaccines should wait until after pregnancy?

A

Varicella
MMR
HPV
Influenza LAV

23
Q

What are the indications for PPSV 23 ONE dose from age 2-64?

A
  • chronic cardiac disease
  • liver disease
  • DM
  • cochlear implants, CSF leak
  • Lung disease
  • resident of chronic care institution
24
Q

What are the indications for PPSV 23 TWO dose from age 2-64?

A
  • Renal disease
  • Asplenia/Sickle cell
  • Immunocompromised
  • give 3-5 years apart
25
Q

When should PCV 13 be given?

A

> age 19 if

  • Immunocompromised
  • asplenia/sickle cell
  • CSF/Cochlear implant
26
Q

If I need the PCV 13 but just received PPSV 23 when should I give it?

A

Wait at least 1 year

27
Q

If I haven’t received any pneumoccocal vaccines and need both, how should I give it?

A

PCV 13 followed by PCV 23 at least 8 weeks later

28
Q

How many doses of Gardasil 9 are needed?

A

two ONLY IF initiated before age 15 and doses were AT LEAST 5 months apart

29
Q

What is the sequence of smoking cessation medications you should try?

A

Nicotine replacement –> buproprion (sustained release) –> Chantix

Can always add nicotine replacement on top of other meds

30
Q

How many cigarettes per day warrant medications for the aid of cessation

A

10-15 cigarettes per day

SOR A

31
Q

Which TCA has been shown to be effective in smoking cessation?

A

Nortriptyline - careful about anticholinergic side effects

off label use

32
Q

How often should pregnant patients receive Tdap vaccine

A

every pregnancy between 27-36 weeks

33
Q

What chronic condition was recently added to indications for Hep B vaccine?

A
  • Chronic liver disease including Hep C infection, LFTs twice normal level
34
Q

Definition of secondary prevention

A

Activities aimed at early disease detection, increasing opportunities for intervention

SCREENING

35
Q

How do you decide who needs BRCA testing?

A
  1. Ask about family hx of breast, ovarian, tubal or peritoneal cancer
  2. Use a risk assessment tool
36
Q

What is the USPSTF recommendation on breast cancer screening?

A

Grade B - biennial screening for women age 50-74
Grade C - women age 40-49 for women who place greater weight on potential benefit than potential harms
Grade I - everyone else

37
Q

USPSTF recommendation on prescription of medications to decrease breast cancer risk

A

Grade B - Offer to prescribe meds if increased risk of cancer but low risk for adverse side effects - tamloxifen, raloxifene, aromatase inhibitors

Grade D - don’t prescribe for women who are not at increased risk

38
Q

Definition of Tertiary prevention

A

reduces negative impact of an already established disease by restoring function and reducing disease related complications

Example: Heart Failure

39
Q

Definition of Quaternary prevention

A

Activities to mitigate or avoid consequences of unnecessary or excessive intervention of the health system
“ do no harm”

Family Medicine Boards 2020 (46 decks)

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