Preventive Medicine Flashcards Preview

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Flashcards in Preventive Medicine Deck (47):
1

which cancer screening method lowers mortality the most

mamma above 50yo

2

breast cancer screening

starting from age 40-50yo, every 2 years, until 75yo

3

breast self exam

WRONGGGGGOOOO-- no proof

4

only imaging in breast cancer screening that decreases mortality

MAMMOGRAPHY

5

what prophylaxis given in breast cancer screening

SERMs for 2 FDR's

6

BRCA testing....

don't know what to do next

7

pap smears

21-30yo, every 3 years
30-65yo, every 5 years if PAP + HPV testing

8

chlamydia screening

age 15-25yo

9

most likely to reduce colon cancer

routine screening: colonoscopy every 10 years starting from 50 yo

10

capsule endoscopy

WRONG for colon cancer
it's for SMALL BOWEL bleeding

11

DRE mortality benefit

NOPE, not proven for any cancer

12

Prostate screening

NOOOOO

13

patient asks for PSA

give it to them

14

does PSA lower mortality

NOOOOOO

15

lung cancer screening

30 pack years of smoking, chest CT from 55 yo

16

NUMBER ONE ANY DISEASE PREVENTION

SMOKING CESSATION

17

lipid screening

CH and LDL for
men-35yo
women-45yo
DM
HTN patients
CAD/carotid/PVD/AAA

18

HTN screening

all patients 18 yo
every 2 years

19

DM screening consists of

FBG (2 measurements over 125 or HbA1c>6.5%) if...
HTN
hyperlipidemia

20

inactivated influenza vaccine and PCV vaccine for...

- patients over 50yo
- chronic: heart/lung/liver/kidney/DM
- immunosuppressed:
HIV/AIDS/steroids/cancer/asplenic

21

is egg allergy a contraindication to flu vaccine?

NOOOPe

22

who gets influenza vaccine

- everyone yearly
- HCW's
- pregnant

23

PCV vaccine numbers

first give 13 polyvalent
after 6-12 months, fu with 23 polyvalent

24

PCV vaccine

- everyone above 65yo
- cochlear implant
- CSF leaks
- alcoholics
- tobacco smokers
- one vaccine above 65yo
- single revaccination after 5 years if the patient is immunocompromised or the first injection was prior to age 65

25

herpes (Varicella)

- all kids
- higher dose: all patients above 60yo-- prevents shingles and post-herpetic neuralgia

26

hep A+B

- all children
- chronic liver disease
- MSM or multiple sexual partners
- household contacts with hep A or B
- injection drug users

27

hep A

travelers to endemic countries

28

hep B

- end stage renal disease (dialysis_
- HCW's
- diabetes

29

toxoid

td-- every 10 years

30

booster of tetanus=

Tdap

31

never vaccinated for tetanus

Ig

32

dirty wound

booster after 5 years

33

clean wound

booster after 10 years

34

meningococcal vaccine

kids 11yo
- asplenics
- terminal complement deficiency
- military recruits
- residents of college dorms
- travelers to mecca or medina in saudi for the hajj

35

who will benefit most from hep a and b

chronic liver disease patients

36

who will benefit most from meningococcal vaccine

asplenia

37

osteoporosis screening

DEXA all women 65yo

38

AAA screening

all men with smoking history

39

3-4cm AAA

every 2-3 years

40

4-5.4cm AAA

every 6-12 months

41

PCP prophylaxis

HIV
transplant patient
CLL

42

HIV screening initial

15-65yo (if risk factors= younger or older)
TB tx
Other STD tx

43

HIV screening annual

IVDU
MSM

44

HIV screening additional

prego
occupational exposure-- BITE
new STD symptom
before new relationship

45

follow up hepB

serial
- ALT
- Hep e Ag

every 3-6 months

46

no sports with mono for....

3 weeks

47

post splenectomy vaccines

14 DAYS
- before surgery
OR
- after surgery