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Screening Guidlines Flashcards

(12 cards)

1
Q

Cervical Ca Screening

A

2 options

  1. Pap smear = 21 to 65 yo every 3 yrs OR
  2. Pap + HPV testing = 30 to 65 yo every 5 yrs

Treatments

  • High-grade lesions w/ablative & excisional therapies, including cryotherapy, laser ablation, loop excision, and cold- knife conization.
  • Early-stage w/surgery (hysterectomy) or chemoradiation.
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2
Q

Breast Ca Screening

A

Mammography

  1. 50 to 74 yo every 2 yrs (biennial)
  2. start at 40 if 1st degree relative
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3
Q

Colon Ca Screening

A

Screen

  1. 50 to 75 yo (men and black higher risk)
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4
Q

Prostate Ca Screening

A
  1. U.S. Preventive Services Task Force (USPSTF) = against prostate-specific antigen (PSA)
  2. AUA = shared decision-making for 55 to 69 yo (>40 for high risk = Black, FH)
  3. ACS = shared decision-making for 50 to 69 yo (>40 for high risk = Black, FH)
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5
Q

STI Screening

  1. Chlamydia
  2. Gonorrhea
  3. Syphilis
  4. HIV
  5. Hepatitis B
  6. Hepatitis C
  7. HSV
  8. HPV
A

USPSTF, AAFP, CDC, ACOG

  1. Chlamydia = at increased risk
    1. Screen all Pregnant
  2. Gonorrhea = at increased risk
  3. Syphilis = at increased risk
    1. Screen all Pregnant
  4. HIV = at increased risk (CDC - all)
    1. Screen all Pregnant
  5. Hepatitis B = do not screen general public
    1. Screen all Pregnant
  6. Hepatitis C = do not screen general public
  7. HSV = do not screen general public, screen if partner has HSV
    1. Don’t screen Pregnant
  8. HPV = Testing with a Pap smear is an option for women older than 30 years
    1. Don’t screen Pregnant
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6
Q

Pediatrics Immunizations

A
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7
Q

Adult Immunizations

A
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8
Q

Adult Immunizations w/contraindications

A
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9
Q

HTN management (JNC 8 guidelines)

A
  1. Maximize 1st medication before adding 2nd OR
  2. Add 2nd medication before reaching max dose of 1st OR
  3. Start with 2 medications classes separately OR as a fixed dose combination
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10
Q

HTN management & comorbidities

A
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11
Q

Lipid Management (Joint ACC/AHA, 2013)

4 patient classes

A
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12
Q

Lipid Management (Joint ACC/AHA, 2013)

Categories & risk factor

A
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