Lecture 2 Flashcards
What type of prevention is one that attempts to eliminate risk factors for disease?
Primary
What type of prevention is one that focuses on screening tests for diseases and is usually performed when the patient is asymptomatic?
Secondary
What type of prevention are vaccinations?
Primary
What type of prevention is a Pap smear?
Secondary
What women can receive the HPV vaccine?
Women 26 and younger
What is the most commonly reported bacterial STD in the US?
Chlamydia trachomatis
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.
127
What are some additional factors that would cause a postmenopausal women under age 65 for need bone density screening?
Current smoker History of hip fracture Alcoholism Rheumatoid arthritis 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
Screenign mammography
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?
Age 20-39
When do women start getting annual screening mammography?
Age 40
What age group should get a pap smear every 3 years with cytology?
Ages 21-29
What women should get pap smear screening every 3 years with cytology every 5 years with cytology and CPV testing?
Ages 30-65
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?
NO
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?
Virtue-based ethics
What type ethics is care based on previous cases and the accumulated scientific knowledge of them, understand that this may chance with new info?
Case-based ethics
