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Risk assessment Flashcards

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1
Q

top 5 “killers” of adults in US

A
  1. heart disease
  2. CA (#1 lung, #2 colorectal)
  3. lower resp dz (asthma, COPD, PNA, flu)
  4. unintentional injuries
  5. CVA
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2
Q

Which CA is responsible for the highest mortality in women?

A

LUNG

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3
Q

Which is the leading GYN-associated cancer “killer?”

A

ovarian

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4
Q

Which is CA has the highest incidence in women other than skin CA?

A

breast

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5
Q

Which CA in men is responsible for the highest mortality?

A

lung

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6
Q

Other than skin CA, which is the 2nd most common cancer in men?

A

prostate

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7
Q

Combining men & women, which is the leading CA “killer?”

A

lung

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8
Q

Combining men & women, which is the 2nd leading CA “killer?”

A

colorectal

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9
Q

Major causes of death in adolescents (12-19)

A

*MCVs -suicide -homicide -CA -CV/congenital dz’s

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10
Q

major causes of death in young adults (20-39)

A

*MVCs

  • homicide (leading cause of death in AA men <35yr)
  • suicide
  • injuries
  • heart disease
  • *AIDS (leading cause of death in AA in US <40yr)
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11
Q

what is the leading killer of African american men <35yr?

A

homicide

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12
Q

what is the leading killer of American Americans <40yr in the U.S?

A

AIDS

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13
Q

Major causes of death in the middle aged adult (40-59yr)

A

**heart disease

  • accidents
  • lung CA, breast, CA, colorectal CA
  • CVA
  • COPD
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14
Q

major causes of death in the elderly adult (>/= 60yr)

A

**heart disease

CVA

COPD PNA and/or influenza lung

colorectal CA

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15
Q

When do adolescents first need a complete physical exam (PE)?

A

age 11-14

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16
Q

How often do adolescents need a PE?

A

3 visits: age 11-14 age 15-17 age 18-21

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17
Q

When should the Gardasil vaccine be administered?

A

age 11-26

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18
Q

when should syphilis screening start?

A

when sexually active

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19
Q

when should tetanus-diphtheria (Td) first be administered?

A

as early as age 7

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20
Q

how often should Td be given?

A

every 10 yrs *substitute 1 dose of Tdap for Td

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21
Q

When should meningococcal vaccine be administered?

A

age 11-12 (approved for ages 2-55yr)

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22
Q

Should repeat meningococcal vaccine be given?

A

*revaccinate x 1 , 5yrs after last dose, for high risk groups (college freshman, military, travelers-Africa)

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23
Q

At what age can the influenza vaccine start to be given?

A

>6mon

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24
Q

Under what circumstances should the pneumococcal vaccine be given to adolescents?

A

age 19-64 if smoker or asthma

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25
When and how often should PPD screening be given to adolescents?
once during adolescence q2yr if at risk or exposure to TB
26
How often should PE be done as a young adult?
q5-6yrs
27
Criteria for PAP testing?
within 3 yrs of sexual activity or 21-65
28
When should chlamydia testing be done?
for all = 25yr
29
How often should a PAP be done?
q3yr
30
When and how often should the HPV co-test be done?
starting at age 30 & q5yr
31
at what age should self breast exams begin?
21
32
how often should a clinical breast exam be done?
q3 yr
33
How often should a BP assessment be done in the young adult?
with every health visit or q2yr
34
What is the youngest age to do lipid panel?
20
35
How often should a lipid panel be done in the young adult?
q5yr unless \>200
36
How often should a PE be done in the middle-aged adult?
q5-6yr
37
how often should a PAP be done in the middle-aged adult (40-59)?
every 3 yr
38
How often should the HPV co-test be done in the middle-aged adult?
q5yr
39
How often should a clinical breast exam be done in the middle aged adult?
every year starting at age 40
40
Mammography screening
\> 40 & every 1-2yr
41
How often does ACOG recommend mammography screening?
annually for ages 50-74
42
At what age should Digital Rectal Exam (DRE) first be done?
50, unless AA or family hx then at age 40
43
When should PSA testing first begin?
age 50, unless AA or family history --\> then 40 year
44
If family history of prostate CA or African American, at what age should PSA testing be done?
40
45
How often should a BP assessment be done in the middle aged adult?
with every health visit or q2yr
46
At what age should colorectal screening begin?
50
47
What are the acceptable colorectal screening methods & how often?
annual FOBT flexible sigmoidoscopy q5yr colonscopy q10yr
48
When should baseline tonometry (glaucoma) screening first be done?
40yr
49
How often should tonometry screening be done in the middle aged adult?
annually
50
What is the earliest the Herpes Zoster vaccine (zostavax) be given?
50yr
51
Who requires the PPSV23 pneumoccocal vaccine?
age 19-64 w/comorbidities: smoker, asthma, COPD, diabets, alcoholism
52
How often should a PE be done in the elderly adult?
q2yr
53
When can PAP smears be discontinued?
\>65-70 w/ 3 consecutive normal cytology tests & no abn tests in the past 10 yrs
54
When can mammography screening be discontinued?
age 74, as long as in good health
55
How often should DRE & PSA test be done in the middle aged adult & elderly adult?
annually
56
At what age should one have a baseline ECG?
40
57
how often should the elderly adult have a repeat ECG?
q2yr
58
How often should glaucoma screening be done in the elder adult?
annually
59
Who should received the PPSV23 & PCV13 pneumococcal vaccines?
\>/= 65yr
60
How much daily intake of protein is necessary?
0.8-1.0g/kg/d
61
Those patients living in a nursing home or long-term home need which vaccine?
pneumoccocal
62
What vaccines are necessary for healthcare workers?
Hep B Mumps ( if born after 1957, 2 doses of vaccine)
63
What criteria should prompt DM screening?
in asymptomatic adults \>135/80.
64
osteoporosis screening
in women \>65yr old \>60yr & at risk
65
most common disease affecting older adults
osteoarthritis

Risk Assessment (2 decks)

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