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19 Cards in this Set
- Front
- Back
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USPSTF: counseling for skin cancer prev
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insufficient
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USPSTF: counseling for adults for screening of tobacco use and provide cessation interventions
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strong
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USPSTF: counseling for CHILDREN or ADOLESCENTS for screening of tobacco use and provide cessation interventions
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insufficient
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USPSTF: vitamins A, C, E, multivitamins with folic acid, antioxidant combos
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insufficient
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USPSTF: beta-carotene suppl for prevention of cancer or CVD
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against
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USPSTF: use of aspirin and NSAIDS to prevent colorectal cancer in individuals with average risk
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against
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USPSTF: use of tamoxifen for primary prevention of BC low or ave risk
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against
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USPSTF: discuss chemoprev with women at high risk for BC and low risk for adverse effects
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B, for
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Screen for disease without an asymptomatic period?
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no
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Prevalence equation
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(TP+FN)/(total population)
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Accuracy equation
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(TP+TN)/(total population)
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If sensitivity is 99.9%, what's the false negative rate? false positive rate?
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Sensitivity: TP/(TP+FN), so FN would be 1/1000
to tell FP, you need the specificity: TN/TN+FP |
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What is the PPV if the prevalence (pre test probability) is the same as the FP rate?
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50%
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USPSTF:
mammography cervical cancer in sexually active colorectal cancer using fecal occult blod testing, sigmoidoscopy, colonoscopy |
Mammography: B-every 2 years at age 50, C- under age 50
Cervical cancer: A- age 21 Colorectal cancer: A- age 50 to 75, C- age 76-85 |
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Screening for bladder cancer
Teaching self breast exam Cervical cancer older than 65 Pap smear after hysterectomy Colorectal after 85 Ovarian cancer Pancreatic cancer Prostate after 75 Testicular cancer in asymptomatic |
USPSTF against
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ACS differs with USPSTF
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Breast: yearly after 40, no stop age, MRI annually for high risk
CRC: no stop age, start before 50 if high risk, CTC and DNA acceptable Cervical: start 21 sexually active or not, stop age 70 Endometrial: annual biopsy at 35 if hsitory of HNPCC Prostate: annual at age 50, earlier if high risk |
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USPSTF: BRCA
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if family history, B
if no family history, D |
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CPSTF primary prevention of cancer:
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smoking restrictions
tobacco control Decrease environmental exposures vaccine policies |
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CPSTF secondary prevention of cancer:
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Policies to enhance screening for breast, cervical, colorectal cancer
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