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Flashcards in Public Health Deck (18):
1

Which is the most common cancer in women under 35?

Cervical

2

What can cervical screening detect?

Cell changes which may develop to be pre-cancerous in women who otherwise have no symptoms

3

Should a woman with symptoms of cervical cancer have a diagnostic or screening test?

Diagnostic

4

What are the symptoms of cervical cancer?

Unusual vaginal discharge/bleeding
Bleeding after sex/between periods
Dyspareunia

5

Describe the cervical cancer screening programme in Scotland

Women aged 20-60yo (now 25-64)
Every 3y until 49yo, then every 5 years after
Speculum exam- visual examination of cervix, brush sample of cells from TZ, liquid based cytology

6

What constitutes low grade cell changes in cervical screening?

Borderline change in squamos cells/endocervical cells and low grade dyskaryosis results

7

What constitutes high grade cell changes in cervical screening?

High grade dyskaryosis, invasive, glandular abnormality and endocervical andenocarcinoma results

8

How is coverage calculated?

Screened population/eligible population x 100%

9

How is uptake calculated?

Screened population/invited population x 100%

10

What is a test of cure in CIN?

HPV testing 6 months after CIN treatment- if normal cells and HPV -ve can return to routine 3y screening

11

What is primary disease prevention?

Stopping a disease before it starts

12

What is secondary disease prevention?

Stopping a disease from being as bad as it could be or preventing recurrence

13

What is tertiary disease prevention?

Stopping later complications from developing

14

What are good targets for disease prevention in O+G?

Reducing teenage pregnancy
Breastfeeding
Obesity
(Breast and cervical cancer)

15

How do you prevent teenage pregnancies?

Contraception
Education
Gender equality

16

What is population attributable risk?

What proportion of this disease is caused by this risk factor?

17

What cancers would be best prevented if everyone in the UK was a healthy weight?

Womb (38%)
Oesophagus (31%)

18

Who gets IVF?

BMI of  female partner must be above  18.5 and below 30
Non smokers for >3 months
No illegal and abusive substances
Both partners must be methadone free for at  least one year prior to treatment
Neither partner should drink alcohol
Neither partner to have undergone voluntary sterilisation, even if sterilisation reversal has been self-funded