Preventive Medicine Flashcards Preview

USMLE Step 3 > Preventive Medicine > Flashcards

Flashcards in Preventive Medicine Deck (26):
1

breast cancer screening test that lower mortality the MOST

mammogram

2

breast self-examination

has NO proven benefit

3

breast cancer screening

- start at age 50
- every 1-2 years

4

cervical cancer screening

- start at age 21
- regardless of sexual activity
- every 3 years
- until age 65

5

if Pap smear shows ASCUS

HPV testing

6

if ASCUS is HPV positive

COLPoscopy

7

colon cancer screening

- start at age 50
- every 10 years

8

colon cancer screening if close family member had colon cancer

- start at age 40, or 10 years earlier than when family member was diagnosed, whichever comes first

9

hereditary nonpolyposis colon cancer syndrome (HNPCC) definition

- 3 family members
- 2 generations
- 1 premature (colon cancer before age 50)

10

hereditary nonpolyposis colon cancer syndrome (HNPCC) colon cancer screening

- start at age 25
- every 1-2 years

11

prostate cancer screening

NO recommendation to do routine screening

12

influenza vaccine greatest benefit

- everyone older than 50
- pregnant women
- health care workers

13

indications for influenza and pneumococcal vaccines

- patient with chronic lung, heart, liver, kidney, and cancer conditions
- HIV positive patients
- patients on steroids
- DM patients

14

influenza vaccine should be given

annually

15

pneumococcal vaccine should be given to

all patients greater than 65 yoa

16

pneumococcal vaccine should be given

once (single injection)

17

meningococcal vaccination

- age 11

18

children at high risk of meningitis

- functional/anatomic asplenia
- terminal complement deficiency

19

HPV vaccination

- ALL females between ages 13-26

20

varicella-zoster vaccination for shingles

- everyone above 60 yoa

21

most effective method of achieving smoking cessation

oral medication = bupropion, or varenicline

22

osteoporosis screening

- bone densitometry (DEXA)
- age 65

23

abdominal aortic aneurysm (AAA) screening

- age 65
- EVER smokers
- screen ONCE with US

24

diabetes screening

only in those with HTN

25

HTN screening

ALL patients above age 18 at EVERY office visit

26

hyperlipidemia screening

- men greater than 35 yoa
- women greater than 45 yoa