Well Visits and Screening - Williams Flashcards Preview

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Flashcards in Well Visits and Screening - Williams Deck (30)
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1
Q

T/F: healthcare screening is harmful

A

true

2
Q

What are the disease characteristics to consider when screening?

A

Seriousness
Effectiveness of early detection
Epidemiology
Availability of treatment

3
Q

Define screening?

A

Looking for a specific disease that is in a pre-symptomatic state.

4
Q

What are the test characteristics to consider when screening?

A

Cost, ease of testing, sensitivity, specificity

5
Q

T/F: a disease should be serious if you are going to screen for it

A

true

6
Q

When screening, there must be (blank) that will positively influence the patient outcome

A

benefit of early detection

7
Q

Screening for rare diseases may lead to more (true positive/false positive) cases

A

false positive

8
Q

All pts older than (blank) should be screened for HTN

A

18

9
Q

The USPSTF recommends that all males older than (blank) and all males and females at risk older than (blank) should be screened for lipid disorders

A

males >34

males and females at risk >20

10
Q

The NCEP recommends that all adults over (blank) should have a fasting lipid profile every 5 years

A

20

11
Q

USPSTF recommends CT scan for lung cancer in adults aged 55-80 with a (blank) pack-year history who have quit within the last fifteen years

A

30 pack year Hx

12
Q

All patients with a BP >135/85 should be screened for (blank)

A

DM Type II

13
Q

T/F: screening in normotensive adults for DM type II is recommended if there is family Hx

A

false; no recommendations for normotensive

14
Q

mammogram should be done (every year/every other) for women 50-74

A

every other

15
Q

T/F: USPSTF says mammogram before fifty is only required if family history is present

A

false; up to patient

16
Q

T/F: USPSTF encourages patients to do a monthly breast exam

A

false; recommend against!

17
Q

ACS says that you should start annual mammograms at what age?

A

40

18
Q

Women in 20s and 30s should have a clinical breast exam every (blank) years, according to the ACS

A

every three

19
Q

T/F: breast exams should be started at 30 according to the ACS

A

false; 20

20
Q

T/F: women at high risk may start mammograms earlier according to the ACS

A

true

21
Q

What are the three methods of colorectal screening to be used on men and women aged 50-75?

A

flex sig, colonoscopy, FOBT

22
Q

T/F: we don’t screen for colon cancer after 75

A

true; definitely not over 85, over 75 based on pt case

23
Q

Is CT or fecal DNA worthwhile for screening for colon cancer?

A

nope

24
Q

What is the group of people that should be screened for G/C?

A

all women 24 and younger that have eve had sex, test annually

25
Q

What age group should be screened for HIV?

A

15-65

26
Q

How often should a PAP be done? Between what ages?

A

every three years from 21-65

27
Q

Between 30-65, PAP and (blank) should be done every 5 y ears

A

HPV

28
Q

T/F: PSA testing is not recommended

A

true

29
Q

How do you screen for AAA?

A

one-time US in men 65-75 who have ever smoked

30
Q

What do you not screen for ever?

A
Thyroid disease
Liver disease
Kidney disease
Bladder Cancer
Ovarian Cancer
Vitamin D Deficiency