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Prevention Across the Lifespan > Final > Flashcards

Flashcards in Final Deck (240)
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1

T/F: Since the introduction of screening in the USA, incidence of CRC has decreased while incidence of breast and prostate CA have increased

true

2

Begin discussion on bicycle helmets at what visit?

*Begin discussion on bicycle helmets at the 2 year visit
Sooner if a passenger of a parent on a bicycle

3

Children exposed to tobacco smoke are at increased risk for what 3 things?

asthma
SIDS
URIs

4

-graphical representation of the family history

pedigree

5

what type of prevention:
provided to individuals who clearly have a disease, and the goal is to prevent them from developing further complications.

Tertiary Prevention

6

11 geriatric syndrome

-Cognitive impairment
-Delirium
- Incontinence
-Malnutrition
-Falls
-Gait disorders
-Pressure ulcers
-Sleep disorders
-Sensory deficits
-Fatigue
- Dizziness

7

refers to a single gene (few genes)

genetics

8

4 multi modal approaches to treating CRPS

1. psychological
2. pharmacological
3. physiotherapy
4. interventional procedures

9

peak performance occurs at waht age?
-loss of reproductive ability what age?

pp: 20-30
loss of reproductive: 45-55

10

__% of teens have sent a sexting message
-emotional and legal impacts

20%

Considered a criminal offense --> leads to suspension, permanent record, police involvement

11

begin asking at the __ year WCC about conflict and bullying

*__% of children are either bullied or a bully

11 yr

30%

12

Older individuals are at greater risk for adverse drug events due to:

metabolic changes and decreased drug clearance associated with aging

13

Adults surviving into late life suffer from high rates of chronic illness; ___% have at least one and ___% have at least two chronic conditions

80% have 1 chronic illness

50% have at least 2 chronic illnesses

14

what happens to esophageal skeletal muscle w/ age?

atrophies at upper third of esophagus--> swallowing problesm--> risk for aspiration

15

recommendations for prostate CA screening

-reasonable in healthy men 55-69 y/o
-men over 75 should NOT be screened
-PSA or FOBT

16

sx: Headaches (severe,
recurrent)
often worse in AM or
supine
Papilledema, peripheral vision
loss possible

Psuedotumor Cerebri

17

5 Indications for genetic counseling and/or testing (clues to genetic disorders)

1. ‘Known’ Genetic Disorder
2. Positive Family History
3. Premature presentation
4. Unusual presentation
5. Unexpected natural progression

18

sx:
pelvic obliquity
weak core strength
myofascial tenderness, muscle spasm

sacroillitis (sciatica)

19

4 pillars of health for geriatric population

1. diet
2. exercise
3. sleep
4. attitude

20

sx: acanthosis nigrican

-impaired glucose metabolism

21

how should firearms be stored?

-The gun should be locked away
-Ammunition should be locked away separate from the gun

22

-Anesthetic medication and a steroid are injected into the epidural space around a disk under fluoroscopic guidance
-Controversial due to little evidence of long term pain relief
-Effective for patients who are not surgical candidates

transforaminal epidural steroid injection

*used for back pain tx

23

GI comorbidities associated w/ childhood obesity

-non-alcoholic fatty liver disease
-gallstones
-constipation/encopresis

24

Geriatric patients should be screened for colon cancer until age __

75

25

saddle anethesia and loss of bowel/bladder control are assoicated w/ what dermatomes

-Saddle Anesthesia(S3-S5)
-Loss of Bowel/Bladder control (S2-S4)

26

normal changes that occur with age in various systems including: Cardiovascular, Pulmonary, Renal, Gastrointestinal, Musculoskeletal

programmed aging

*genetics and environmental factors also play a role

27

a term that is commonly applied to mild or moderate protein energy malnutrition in this country

failure to thrive

28

endocrine comorbidities of obesity in children

-impaired glucose metabolism
-DM2
-PCOS
-hypothyroidism

29

Colorado Law:
Rear-Facing Car Seat
Up to ____ AND ___

AAP recommends what?

Rear-Facing Car Seat
Up to age 1 AND 20 lbs

-AAP now recommends Rear-Facing Car Seats until 2 years of age or until they reach the height/weight requirement of their car seat


30

An apparent loss of physiologic reserves in older adults leads to intolerance to challenges to their homeostasis
-the older person is continually expending reserves to compensate for primary age changes

homeostenosis