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STEP 3 > Preventative Medicine > Flashcards

Flashcards in Preventative Medicine Deck (23):
1

What cancer screening test lowers mortality the most?

Mammogram

2

What is the screening guidelines for breast cancer?

Mammogram starting at 50 y/o every 1-2 years

3

What is the screening guidelines for cervical cancer?

Pap smear starting at 21 y/o every 2-3 years until age of 65

4

What is the next best step in management for a pt with a result of ASCUS on Pap smear?

HPV testing

5

What is the next best step in management for a apt who is found to be HPV positive after a result of ASCUS on Pap smear?

Colposcopy

6

What is the screening guideline for colon cancer in the general population?

Colonoscopy starting at 50 y/o every 10 years

7

What is the screening guideline for colon cancer for a pt with a close family member having colon cancer?

Colonoscopy starting at 40 y/o or 10 years before the age that family member was diagnosed

8

What is the screening guideline for colon cancer for pt with family history of hereditary nonpolyplosis colon cancer syndrome (lynch syndrome/ HNPCC)?

Colonoscopy starting at age 25 every 1-2 years

9

A pt with colon cancer in at least 3 family members in 2 generations, with 1 of them having it prematurely (before 50 y/o) most likely suffers from...

Hereditary nonpolposis colon cancer (HNPCC/ lynch syndrome)

10

Should men over the age of 75 y/o be screened for prostate cancer using PSA?

No

11

What are the four major groups of people that influenza vaccination and pneumococcal pneumonia vaccination are indicated for?

1. Chronic lung, heart, liver, kidney or cancer
2. HIV pts
3. Pts on steroids
4. Pts with diabetes

12

What three groups of people benefit the most from the influenza vaccination?

1. Pts over 50 y/o
2. Pregnant women
3. Healthcare workers

13

What is the influenza vaccination guideline for the general population?

Yearly

14

What is the pneumococcal pneumonia vaccination guideline for the general population?

Single injection if over 65y/o

15

What is the meningococcal vaccination guideline for the general population?

Children age 11

16

Who should receive meningococcal vaccination prior to age 11? (2)

1. Functional or anatomically asplenic
2. Terminal complement deficiency

17

What is the HPV (gardisil) vaccination guideline?

All women ages 13-26 years old
(Acceptable in boys)

18

What is the varicella-zoster vaccination guideline?

Everyone over age 60
(Prevent re activation of varicella-zoster/ shingles)

19

What is the most effective method of achieving smoking cessation?

Oral medications like bupropion and varenicline

20

What is the screening guideline for osteoporosis?

Bone densitometry starting at age 65 y/o

21

What is the screening guideline for abdominal aortic aneurysm?

All men 65 y/o who have ever smoked should be screened once with ultrasound

22

What is the screening guideline for diabetes?

Pts with hypertension

23

What is the screening guideline for hyperlipidemia?

Men > 35 y/o
Women > 45 y/o