Family Med Flashcards
(50 cards)
What vaccine should be given to all MSM? What other groups should get this vaccine?
Hepatitis A
IVDA, travelers to countries where this is endemic, chronic liver disease
At what age can children start receiving the flu vaccine?
6 months
Give them two doses of the inactivated vaccine at least 4 weeks apart
What ages should receive the HPV vaccine?
Under 26
Age for zoster vaccine?
60 years old
Should you screen for lung cancer? If so, how?
No! Early detection shows no improvement in mortality
Ages for colon cancer screening
Age 50
or, if there is a hx of colon ca in the family, screen at age 40 or 10 years younger than the age that family member was diagnosed
(whichever age comes first)
Mammogram screening age
Age 50-74, every 2 years
Cervical cancer screening
Start at age 21, regardless of sexual hx
Age 21-29, pap smear every 3 years
Age 30-65, pap smear every 3 years or pap smear + HPV test every 5 years
Should you screen for prostate cancer? If so, how?
No, not sufficient evidence for or against
Patient newly on OCPs develops high blood pressure, what is the next step in management?
Stop OCP and recommend barrier method
IUDs inc risk of
STI
Emergency contraceptives
No medical contraindications Use within 72 hours of intercourse No inc risk of VTE, stroke or MI Do not disrupt current pregnancy or cause birth defects 75-85% effectiveness
AAA screening
Via Ultrasound
o In men aged 65-75 who have ever smoked
Td vs Tdap in adults
Tdap is recommended due to waning immunity against pertussis and due to inc in # of cases of pertussis
Murphy sign
= cholecystitis
sudden cessation of inspiratory effort during deep palpation of the right upper quadrant is called “Murphy sign”
Main causes of peptic ulcer disease
H pylori
NSAIDs
What are the alarm symptoms in GERD that would warrant evaluation with endoscopy?
Bleeding, abdominal mass, weight loss, dysphagia, or vomiting, especially if these symptoms are present in an elderly patient.
Causes of acute pancreatitis
- Gallstones
- Alcohol
- Idiopathic
Others: hyperlipidemia, infections, meds, trauma
Ranson’s criteria for pancreatitis (assess the severity and prognosis of pancreatitis)
On admission: Age>55 WBC>16,000 Glucose > 200 LDH >350 AST>250
During initial 48 hours: Hematocrit dec >10 BUN inc > 5 Calcium < 8 PaO2<60 Base deficit > 4 Fluid sequestration > 6
Treatment of lice
Permethrin 1%
Treatment of lyme disease
Early localized disease can be treated with oral anti- biotics (amoxicillin or doxycycline) for 14 to 21 days.
Early disseminated disease is treated with IV therapy for 2 to 3 weeks. Ceftriaxone or cefo- taxime and chloramphenicol are options.
Clusters of bites indicate what insect bite?
Fleas
What is the treatment for a person with a cat bite?
After a cat bite to the hand, hospitalization is indicated unless it is very superficial and does not appear to be infected. If the bite involves the tendon, joint capsule, or bone, hospitalization is also indicated.
*Bite wounds should NEVER be closed
When can you hear fetal heart tones?
12 weeks
