TBL Nov 29 Flashcards
(24 cards)
Screening tests example of what prevention?
Secondary - promote early detection
Surgery is example of what prevention?
Tertiary - therapeutic + rehabilitative measures once disease is diagnosed
When start screening for HTN?
18yo - BP during office visit
When start screen lipid disorders in women? in men?
women - 45
men - 35
Who take aspirin daily?
Men 45-79 to reduce risk MI
Who get U/S for AAA?
Men 65-75 who have ever smoked
Three ways to screen for colorectal cancer starting at age ___ ?
50
Fecal occult blood - annually
Sigmoidoscopy - 3-5 years
Colonoscopy - every 10 years
How screen for lung CA in smokers?
55-80 w/ 30yr pack hx = annual CT of chest
Quit < 15 years ago annual CT of chest
How screen obesity? Frequency?
BMI > 30
Every visit
Screen who for T2DM?
Adults + HTN > 135/89 and/or hyperlipidemia
Who get pneumococcal?
Adults 65+
(younger if COPD, smoker, IC, diabetes)
When get meningococcus vaccine?
Age 11-12, booster age 16
think college dorm, army barracks
How test for GC?
Urine acid amplification
Who gets HPV vaccine?
Male 9-26
Female 13-26
1 cause sudden cardiac death - youth?
Hypertrophic cardiomyopathy
2nd = anomalous coronary artery
Youth has Marfan habitus, when refer to cardio for eval?
Any diastolic murmur
Systolic murmur 3/6 or louder
What is usefulness of information equation?
Work
POEM vs. DOE
Doe = disease oriented evidence - measures outcomes that are physiologic markers for disease – does not always translate into clinical medicine
What is one treatment that actually helps w/ cardio?
Beta blocker for HF
- reduced mortality in moderate/severe disease
What is P value of 0.05?
Means only 5% chance finding represent chance
Sensitivity
Proportion of pt’s WITH disease with POSITIVE test
Specificity
Proportion of pt’s WITHOUT disease with NEGATIVE test
Equation for sensitivity?
True + / (true + and false neg)
Equation for specificity?
True - / (true - and false positive)
