Flashcards in Preventative Medicine Deck (28)
What are the 3 cancers in which regular screening is recommended?
What is the recommended screening tool for breast cancer?
yearly mammograms starting at 40 - 74 y/o
What is the recommended screening tool for skin cancer?
skin screening during well visit yearly
What is the recommended screening tool for cervical cancer?
pap smears starting at 21 y/o -65 y/o
every 3 years if no co-testing; every 5 years if co-test with HPV testing
What is used as prophylaxis for traveler's diarrhea?
1. Bismuth subsalicylate (Pepto-bismol)
2. consume clean water and food
When should immunoglobulin be given along with hep A vaccine?
if pt traveling within 2 weeks; give with first dose if never vaccinated
What is the agent of choice for malaria prophylaxis?
mefloquine (doxycycline is alternative)
Who should be vaccinated for Rabies?
traveling to India, mexico or asia and interacting with domestic animals; work in animal lab
What vaccines are contra-indicated in pregnacy and immunocompromised?
1. Typhoid (oral)
2. tdap (pertussis)
How often should an adult recieve a tetanus booster?
every 10 years (one of which should contain pertussis)
Who should recieve gardisil vaccination?
any age 9-26 y/o
(given as 3 dose: 0 months, 2 months and 6 months)
Who can receive the flumist (live attentuated flu) vaccine?
pts 5-49 y/o without co-morbidities
(not healthcare workers b/c in contact with immunocompromised pts)
Who should recieve a pneumococcal vaccine?
1. if older than 65 y/o
2. if immunocompromised, renal disease or asplenic (give 2nd dose after 5 years)
When should an individual recieve a shingles vaccine (varicella zoster)?
starting at age 60 y/o
What is the screening tool for osteoporesis and who should recieve it?
DEXA scan; women > 65 y/o
What is the screening tool for abdominal aortic aneurysm and who should recieve it?
abdominal ultrasound; men > 65 y/o with hx of smoking
What is the screening tool for hypercholestermia and when should it be started?
fasting cholesterol levels
1. 35 years old in males
2. 45 years old in females
(if increased risk factors for CAD, start at 20)
What is the target LDL for pts with heart disease or eqivualent (diabetes, peripheral vascular disease, stroke, carotid artery disease?
What is the target LDL for pt with 2 or more risk factors (smoking, HTN, HDL45 y/o)?
LDL < 130
What is the target LDL for a patient with 0-1 risk factor?
What is considered stage 1 hypertension?
SBP 140-159; DBP 90-99
What is considered stage 2 hypertension?
SBP >160; DBP >100
What is the goal blood pressure for patients with diabetes or kidney disease?
BP < 130/80
What is the screening recommendations for diabetes?
1. every 3 years of 45
2. if BMI >25
3. if HTN
What are the side effects of sibutramine (used for weight loss)?
what is the side effect of orlistat (used for weight loss)?
When should someone be considered for gastric bypass?