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FNP 1 > Young Adult > Flashcards

Young Adult Flashcards

(49 cards)

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1
Q

Erikson stage for young adult

A

Intimacy vs Isolation

Gain independence, form intimate relationships. If not achieved will feel more isolated and not function as well in society.

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2
Q

3 Leading causes of death ages 20-34 per CDC

A
  1. Accidents
  2. Suicide
  3. Assault (homicide)
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3
Q

3 Leading causes of death ages 35-44 per CDC

A
  1. Accidents
  2. Malignant Neoplasms
  3. Heart Disease
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4
Q

2 screenings you should definitely do with young adults

A
  1. Alcohol Misuse (CAGE)
    - ask specifics
  2. Tobacco Use
    - ask all pts.
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5
Q

Who should you test for gonorrhea and chlamydia?

A

All young women 24 and younger who are sexually active

Also, test if > 24 and at high risk

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6
Q

Who do you screen for Heb B and C

A

only high-risk individuals (not a routine screening)

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7
Q

Who do you test for HIV?

A

Get a baseline on all patients then screen at intervals based on their amt of high-risk behaviors

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8
Q

How often do those at high risk for HIV need to be screened?

A

yearly

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9
Q

Is it recommended to screen for syphilis on a yearly basis?

A

No. identify those at high risk and just screen those patients

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10
Q

What kind of behavior counseling do practitioners need to give to young adults?

A

proper diet and exercise for heart-healthy behaviors

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11
Q

Are there intervals to screen/ draw lipids?

A

Not at this time. (screen as needed and educate) identify those at high risk for cardiovascular disease

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12
Q

How often should you check blood pressure? BMI?

A

every visit

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13
Q

what should you do with your BP once you turn 40?

A

Check BP every day

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14
Q

What is recommended for women of childbearing age?

why?

A

take some sort of vitamin that has folic acid, at least 400 micrograms.
to prevent spinal cord defects

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15
Q

what to use to check for depression in young adults?

A

PHQ-2 to identify if there is a problem then they can use PHQ-9 or Beck’s Depression Inventory for more detail

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16
Q

What is needed to ask about intimate partner violence?

A

Do you feel safe at home?

Know local resources and referrals

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17
Q

Causes of anal cancer in males (avg age is 50)

A

HPV,
Immunodeficiency,
Smoking

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18
Q

what is natal sex?

A

sex assigned at birth

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19
Q

gender assigned according to genitals

A

birth-assigned sex

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20
Q

USPSTF rating for anal cancer screening

21
Q

At-risk groups for anal cancer

Study These Flashcards
A

HIB
MSM w/out HIV
pts with hx of receptive anal intercourse

22
Q

Female screening NOT diagnostic test

23
Q

the goal is to detect high grade squamous intraepithelial lesions (HSIL)

24
Q

Usually benign lesion with high regression rate, particularly in adolescents and young adults

Study These Flashcards
A

Low-Grade SIL (LSIL) found on pap smear

25
ectocervical sample collected with a spatula and endocervical sample collected with a brush both applied to one slide with immediate fixation - not done much anymore
Conventional Slide Pap
26
SurePath or ThinPrep Increased detection of cervical disease, reflex HPV testing, STD testing, + more expensive and not equally available
liquid based cytology pap
27
may use spatula and brush OR broom; then vigorously move sampling device in liquid; may place broom into the liquid of SurePath
liquid-based cytology pap
28
for HPV testing if over 30 and both are negative screening can be extended to every_____ can be added as reflex testing in women < 30 years
5 years
29
USPSTF level of recommendation for women 21-65 pap smear and women 30-65 in combo with HPV testing
A
30
How often does the USPSTF recommend women aged 21-65 get screened for cervical cancer with cytology (pap)
every 3 years
31
USPSTF recommendation for HPV testing women < 30 yrs.
D
32
USPSTF recommendation for cervical cancer testing women < 21 yrs.
D
33
USPSTF recommendation for cervical cancer screening in comen > 65 who have ad adequate prior screenings
D
34
USPSTF recommendation for cervical cancer screening in women who have had a hysterectomy
D
35
According to USPSTF would you continue doing pap smears on women who had a hysterectomy and still has a cervix
yes
36
At what age should you start cervical cancer screening?
21
37
What populations might need more frequent screenings
HIV infection immunocompromised exposure to diethylstilbestrol in utero previous cancer tx for CIN 2, CIN 3, or cancer
38
do women < 21 years of age need an internal pelvic exam?
No
39
magnified illumination used to assess colposcopic features that determine the presence of normal or abnormal findings; biopsies can be taken and HPV tests done
Colposcopy
40
used for further testing after an abnormal pap smear. requires specific training/ tools
Colposcopy
41
What is recommended for women with + ASC-US pap smear result
reflex HPV testing (add on if test comes back abnormal)
42
What is recommended for women with HPV positive ASC-US * (atypical squamous cells of abnormal significance)
colposcopy
43
What is recommended for women LSIL (low grade squamous intra-epithelial lesion) (w/ either no HPV result or + HPV)
colposcopy
44
What is recommended for women with CIN 2, CIN 3, CIn 2/3
excision, ablation may be used unless young or pregnant
45
what to do if pap comes back w/ unsatisfactory results what if this keeps happening?
repeat cytology in 2-4 months if keeps happening recommend a colposcopy
46
What to do if a pt aged 21-29 pap test comes back normal but there wasn't any endocervical transformation zone noted?
This is normal for that age because hpV is normally found in the transformation zone ... coontine routine screening in 3 years
47
What to do if the female pt is > 30 years and HPV was negative?
continue with regular screening
48
What to do if the HPV status is unknown from the pap smear in pt > 30 yrs?
Repeat cytology in 3 years instead of the 5
49
In what pts is it most likely that on a pap there is no lesion or malignancy but the endocervical transformation zone is absent? Why?
post-menopausal the endocervical component gets pulled up into the Os

FNP 1 (18 decks)

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