Flashcards in Lecture 2 Deck (49):
What type of prevention is one that attempts to eliminate risk factors for disease?
What type of prevention is one that focuses on screening tests for diseases and is usually performed when the patient is asymptomatic?
What type of prevention are vaccinations?
What type of prevention is a Pap smear?
What women can receive the HPV vaccine?
Women 26 and younger
What is the most commonly reported bacterial STD in the US?
What are 5 risk factors for STDs?
History of multiple sex partners
Sexual partner with multiple sexual contacts
Sexual contact with individuals w/ culture-proved STD
History of repeated STDs
Attendance at clinic for STDs
When should bone mineral density (BMD) be tested?
All postmenopausal women starting at age 65
Perform in younger postmenopausal women at risk for osteoporosis
A postmenopausal women under _____ pounds should have a bone density screening.
What are some additional factors that would cause a postmenopausal women under age 65 for need bone density screening?
History of hip fracture
fragility fracture history
When should TSH be tested?
Every 5 years starting at age 50 in women without risk factors
When should lipid panels be tested?
With risk factors- every 5 years
Without risk factors- begin at age 65
What are the two major screening examinations for breast cancer?
Clinical breast examiniation
When should women get an annual clinical breast exam?
Age 40 years and older
Which age group should get a clinical breast exam every 1-3 years?
When do women start getting annual screening mammography?
What age group should get a pap smear every 3 years with cytology?
What women should get pap smear screening every 3 years with cytology every 5 years with cytology and CPV testing?
Should women over age 65 get a pap smear?
No if there is adequate negative prior screening (three consecutive negative cytology or 2 consecutive negative co-tests) and no history of CIN 2 or greater within the last 20 years
If a women over aged 65 has a new sex partner but has never had an abnormal pap should a new one be done?
How long after having CIN2, CIN3, adenocarcinoma insitu should a women continue screening?
20 years after spontaneous regression or appropriate management
When is colorectal cancer screening recommended?
All women at average risk starting at age 50 and every 10 years
What type of ethics is care based on the character of the physician facilitated by qualities of character such as trustworthiness, prudence, fairness, fortitude, temperance, integrity, self-effacement, and compassion?
What type ethics is care based on previous cases and the accumulated scientific knowledge of them, understand that this may chance with new info?
What is ethics based upon shared values, goals, ideals of community rather than the individual?
What is ethics based in quality of care for men and women and the right of women
What type of ethics state that good decision result from character traits such as sympathy, compassion, fidelity, love, and friendship inherent in interpersonal relationships?
What type of ethics is a systematic approach based on four principles: autonomy, beneficence, nonmaleficence, and justice?
What are the six steps in the decision making process?
1 Identify the decision makers
2 Collect data
3 Identify and evaluate all medically appropriate management options
4 Systematically evaluate these options
5 Identify ethical conflicts and set priorities then select the option that can be best justified
6 Reevaluate the decision after it is acted on based on clinical outcomes
Who's responsibility is informed consent?
The physician, it can't be delegated to others
what is an example of medical liability action?
What is an undesirable outcome irrespective of the quality of care provided?
What is an outcome that has resulted from negligence (care below standard of care)?
What is the most common age of menopause?
What glands are located at approx 5 and 7 o'clock
What glands are periurthral and located at 11 and 2 o'clock?
What are the two types of speculums?
Pederson and Graves
Which speculum is better for parous women. It has wider blades and is higher and curved on the sides.
What speculum is best for nulliparous and postmenopausal women. Flat narrow blades with a very small curve on the sides.
What are the three position the uterus can be in the long axis?
What are the two position in the shorter axis that a uterus can be in?
What is a term for the ovaries, fallopian tubes, and support structures?
_________ is the proportion of affected individuals that test positive on the screening test.
_________ is the proportion of unaffected individuals that test negative on the screening test.
What causes syphilis?
What is a normal T score?
Greater than or equal to 1
What is an osteopenic T score
Between -1 and -2.5
What is an osteoporotic T score
Less than -2.5