Preventive Medicine Flashcards Preview

USMLE Step 3 > Preventive Medicine > Flashcards

Flashcards in Preventive Medicine Deck (26)
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1
Q

breast cancer screening test that lower mortality the MOST

A

mammogram

2
Q

breast self-examination

A

has NO proven benefit

3
Q

breast cancer screening

A
  • start at age 50

- every 1-2 years

4
Q

cervical cancer screening

A
  • start at age 21
  • regardless of sexual activity
  • every 3 years
  • until age 65
5
Q

if Pap smear shows ASCUS

A

HPV testing

6
Q

if ASCUS is HPV positive

A

COLPoscopy

7
Q

colon cancer screening

A
  • start at age 50

- every 10 years

8
Q

colon cancer screening if close family member had colon cancer

A
  • start at age 40, or 10 years earlier than when family member was diagnosed, whichever comes first
9
Q

hereditary nonpolyposis colon cancer syndrome (HNPCC) definition

A
  • 3 family members
  • 2 generations
  • 1 premature (colon cancer before age 50)
10
Q

hereditary nonpolyposis colon cancer syndrome (HNPCC) colon cancer screening

A
  • start at age 25

- every 1-2 years

11
Q

prostate cancer screening

A

NO recommendation to do routine screening

12
Q

influenza vaccine greatest benefit

A
  • everyone older than 50
  • pregnant women
  • health care workers
13
Q

indications for influenza and pneumococcal vaccines

A
  • patient with chronic lung, heart, liver, kidney, and cancer conditions
  • HIV positive patients
  • patients on steroids
  • DM patients
14
Q

influenza vaccine should be given

A

annually

15
Q

pneumococcal vaccine should be given to

A

all patients greater than 65 yoa

16
Q

pneumococcal vaccine should be given

A

once (single injection)

17
Q

meningococcal vaccination

A
  • age 11
18
Q

children at high risk of meningitis

A
  • functional/anatomic asplenia

- terminal complement deficiency

19
Q

HPV vaccination

A
  • ALL females between ages 13-26
20
Q

varicella-zoster vaccination for shingles

A
  • everyone above 60 yoa
21
Q

most effective method of achieving smoking cessation

A

oral medication = bupropion, or varenicline

22
Q

osteoporosis screening

A
  • bone densitometry (DEXA)

- age 65

23
Q

abdominal aortic aneurysm (AAA) screening

A
  • age 65
  • EVER smokers
  • screen ONCE with US
24
Q

diabetes screening

A

only in those with HTN

25
Q

HTN screening

A

ALL patients above age 18 at EVERY office visit

26
Q

hyperlipidemia screening

A
  • men greater than 35 yoa

- women greater than 45 yoa