Preventive medicine part 2 basic info

Question 1

what type of prevention is screening

Answer 1

secondary prevention

Question 2

it is important to screen

Answer 2

appropriately

Question 3

United States Preventive Services Task Force makes

Answer 3

evidence based recommendations about clinical preventive services, including screening

Question 4

who makes up the United States Preventive Services Task Force

Answer 4

volunteer panel of national experts in prevention and EBM

mainly primary care doctors

Question 5

girls represented in United States Preventive Services Task Force

Answer 5

preventive medicine, primary care, internal medicine, family medicine, pediatrics, behavioral health, OB/GYN, nursing

Question 6

USPSTF Recommendations help

Answer 6

understand with who, and in which setting the recommendations are meant to be utilized
screens are given a grade

Question 7

grade A

Answer 7

USPSTF Recommends this service

high certainty that the net benefit is substantial

providers should offer or provide this service to patients

Question 8

grade B

Answer 8

USPSTF Recommends this service

high /moderate certainty that the net benefit is moderate to substantial

providers should offer or provide this service to patients

Question 9

grade C

Answer 9

USPSTF Recommends selectively offering to providing this service to individual patients based upon professional judgement or patient preference

requires you to think through with patient

moderate certainty that the net benefit is small

providers should offer or provide this service to selected patients depending on individual circumstances

Question 10

grade d

Answer 10

USPSTF Recommends a AGAINST this service

high certainty that there is NO net benefit or that the harm outweighs the benefits

USPSTF discourages the use of these services

Question 11

grade I

Answer 11

USPSTF concludes that current evidence is insufficient to assess the balance of benefits and harm of the service
evidence is lacking, poor quality or conflicting

providers should read the clinical considerations of the USPSTF before offering or providing this service to patients and patients should be informed and understand the uncertainty of the balance between the benefits and harms

Question 12

burden of suffering

Answer 12

one way screening decisions are made

Death, disease, disability, discomfort, dissatisfaction, destitution

Question 13

screening test

Answer 13

one way screening decisions are made

Sensitivity/specificity, simplicity, cost, safety, acceptability

Question 14

prevention and screening decisions

Answer 14

one way screening decisions are made
Effectiveness, safety, cost-effectiveness
Is early treatment more effective than late treatment?

Question 15

harms of screening in wellness exams

Answer 15

Risks associated with the screening test
Anxiety 
Additional diagnostic testing
Over-diagnosis
Be aware of limited benefit with certain comorbidities

Question 16

which diseases fall under cardiovascular disease

Answer 16

Hypertension
Hyperlipidemia
Coronary heart disease
Carotid artery stenosis
Abdominal aortic aneurysm
Peripheral artery disease
Aspirin prophylaxis

Question 17

when considering cardiovascular disease you should assess

Answer 17

major modifiable risk facets such as

diet, smoking, physical activity, hypertension, dyslipdemia, obesity, and DM

Question 18

risk calculator for cardiovascular disease

Answer 18

the ACC/AHA give a 10 year risk calculation os ASCVD by factoring
age, sex, race, cholesterol, BP, BP tx, diabetes, tobacco use

Question 19

what is considered an increased risk based on the risk calculator for cardiovascular disease

Answer 19

greater or equal to 7.5%

Question 20

hypertension screen

Answer 20

grade A for those who are 18 plus
screen every 3-5 years until age 40 then screen annually

if a person is at increased risk (high BO, overweight or obese, African American) then screen annually before age 40

Question 21

AAP recommendation of hypertension screening in children and adolescents

Answer 21

screen at every health care episode after 3 years old

Question 22

NHLB birth futures AHA recommendation of hypertension screening in children and adolescents

Answer 22

annually beginning at age 3

Question 23

hyperlipidemia screening USPSTF <20

Answer 23

insufficient evidence

Question 24

Affordable Care Act significant

Answer 24

USPSTF A/B recommendations are 100% covered

High or moderate certainty of improved patient outcomes and a net benefit

Question 25

tool by the Area for Healthcare Research and Quality

Answer 25

ePSS

Question 26

How are screening decisions made?

Answer 26

burden of suffering, screen test, prevention 1/2/3