Screening Flashcards

1
Q

Cervical cancer screening with cytology alone - age and frequency

A

21-29, every 3 years

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2
Q

Age and frequency of cervical cancer screening with hpv testing alone or with cotest (with cytology)

A

30-65, every 5 years

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3
Q

When to screen for chlamydia / gonorrhea

A

all sexually active women age 24 and younger, or older women at increased risk for infection

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4
Q

Age for colorectal screening

A

45-75

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5
Q

6 Screening options for colorectal cancer and frequency

A

occult or FIT every year, stool DNA fit every 1-3 years, CT or flex sigmoid every 5 years, flex sigmoid every 10 years plus annual FIT, or colonoscopy every 10

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6
Q

how to prevent falls in older adult communities +65

A

exercise interventions

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7
Q

Hep C screening, age and frequency

A

at least once age 18-79

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8
Q

HIV screening

A

at least once 13+

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9
Q

lung cancer screening for patients with 20 pack year smoking history who smoke or quit within last 15 years

A

annual screening with LDCT, age 50-80

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10
Q

3 Criteria for Statin use for primary prevention

A

1) adults 40-75 with no hx CVD; 2) 1 or more CVD risk factors (LDL >130, HDL <40); 3) 10 year calculated risk >10%

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11
Q

When to refer obese patients for behavioral interventions?

A

BMI 30

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12
Q

How often to get a physical, starting age

A

20 years, q 5 years

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13
Q

AAA SCREENING

A

MEN 65-75 who have smoked, once

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14
Q

DM screening age and frequency

A

40-70 years old who are overweight, every 3 years if normal

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15
Q

BP screening age and frequency

A

18+; annually for 40+ or if increased risk for HTN; 3-5 years for 18-39yo with no risk and normal reading

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16
Q

Cholesterol screening age and frequency

A

starting age 20, every 5 years unless CVD risk factors (cholesterol >200)

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17
Q

PCV13 age and dose

A

19-64 if medical conditions, 1 dose - or 65+ given BEFORE PPSV23

18
Q

PPSV23 age and dose

A

16-64 if medical conditions, 1-2 doses depending - or 65+ at least one year after pcv13 and at least 5 years after PPSV23

19
Q

Contraindications to zoster vaccine

A

allergy to gelatin, neomycin, weakened immune system (HIV/AIDs, cancer, etc)

20
Q

What is quaternary prevention

A

prevention of overmedicalization

21
Q

Breast cancer screening with mammography age and frequency

A

50-74 yo, every two years

22
Q

Initial diagnostic study of choice for AAA

A

ultrasound

23
Q

the A’s of tobacco cessation

A

Ask, advise, assess, assist, arrange

24
Q

two of the most important risk factors for GI bleed from stress ulcers

A

coagulation and RF with need for MV

25
Q

Best tool for assessing fall risk in the hospital, positive score?

A

Stratify; five factors, 2/5 = increased risk for falls

26
Q

what is diclofenac

A

NSAID

27
Q

which class of drugs helps with memory in alzheimers

A

cholinesterase inhibitors

28
Q

antibiotics for community acquired MRSA skin infection

A

Bactrim, doxy, clindamycin

29
Q

4 types of drug reaction

A
  1. urticarial/angioedema of skin (wheals); 2. petechial rash from antibodies causing lysis to cells (platelets and leukocytes) 3. delayed, can cause urticaria/vasculitis; 4. cell mediated immune reaction —> SJS
30
Q

When to use hydrocolloid dressings

A

stage II/III

31
Q

when to use alginate dressings

A

stage III/IV

32
Q

when not to use hydrogels

A

wounds with excess exudate, must be used with gauze dressing

33
Q

non pharm tx for states dermatitis

A

compression stockings with 30-40mmhg gradient

34
Q

CMS quality measures

A

Centers for medicare/medicaid services: effective, safe, efficient, patient centered, equitable, timely

35
Q

Group of healthcare providers/hospitals that voluntarily come together to give coordinated high quality care to medicare patients

A

accountable care organizations

36
Q

CPT codes for critical care

A

99291-99292

37
Q

Inpatient initial visit CPT codes

A

99221-99223

38
Q

Subsequent hospital visit CPT codes

A

99231-99233

39
Q

discharge CPT code

A

99238-99239

40
Q

what is MACRA

A

Medical access and chip reauthorization; incorporates MIPS, advanced alternative payment models, and quality payment programs – rewards value over volume

41
Q

at what creatinine clearance should you discontinue Xarelto

A

<15

42
Q

What GFR should you discontinue spironolactone

A

<10