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55 Cards in this Set

  • Front
  • Back
What is primary prevention
Intervention before pathological change has begun
What is secondary prevention
(early detection) - inspection, palpation, diagnostic procedures and test
What is screening?
identifying and evaluating high risk groups of people
name some of the primary prevention to reduce cancer risk
healthy diet
no smoking
exercise
weight control
sun protection
at what age should mammograms be started?
Age 40
Clinical breast exam guideline
every three years for women in their 20's and 30's and every year for women 40 and over
Breast self exam age
starting at age 20
colorectal cancer
colonoscopy every 10years after age 50
test for polyps
Cervical cancer
every 3 years after intercourse and no later than 21 years old
every year pap test screening
endometrial cancer
at the time of menopause
Clinical breast exam guideline
every three years for women in their 20's and 30's and every year for women 40 and over
Breast self exam age
starting at age 20
colorectal cancer
colonoscopy every 10years after age 50
test for polyps
Cervical cancer
every 3 years after intercourse and no later than 21 years old
every year pap test screening
endometrial cancer
at the time of menopause
prostate cancer
at age 50 start talking to doc
at age 45 if AA or have dad/bro who had prostate cancer before age 65
what is the most common cancer in women
breast cancer
what are the risk factors for breast cancer
early menarche
late menopause
never been pregnant
1st child after 30
what is the drug that is chemo preventive for Breast cancer
Tamoxifen
what is the leading cause of death in the U.S
lung cancer
who has the highest death rates for lung cancer in the US
Kentucky
what is the leading cause for lung cancer
smoking
what is the second leading causes of lung cancer
asbestos
radiation
TB
pollution
what is the screening employed for lung cancer
spiral CT
what is the primary prevention for preventing lung cancer
stop smoking
what are the risk factors for head/neck cancer
tobacco
alcohol
poor oral hygiene
occupational exposure
how are head/neck cancer detected
early dental exams, and prevented by stop/change in behaviors
what is the 3rd highest incidence of cancer in men and women
colon and rectal cancer
what are the risk factors for colon /rectal cancer
family
ulcerative colitis
sedentary lifestyle
high fat low fiber diet
smoking
alcohol
what are some of the screenings employed for colorectal cancer at age 50, or earlier if family history
FOBT
Flexible sigmoidoscopy Q5yrs
colonoscopy every 10 years
Prostate cancer screening
talk with md at 50, at 45 if AA or risk
screen prostate with digital exam or PSA
Monthly self exam starting at age 20
what are the risk factors for prostate cancer
PSA >2.5
genetics
age
race
what are the risk factors for cervical cancer
multiple sex partners
HPV
STI
what is the medicine that protects agains cervical cancer
Gardisil age 9-26
how does basal/squamous cell carcinoma look like
pale, wax like, pearly nodules or red scaly patch
what are the risk factors for head/neck cancer
tobacco
alcohol
poor oral hygiene
occupational exposure
how are head/neck cancer detected
early dental exams, and prevented by stop/change in behaviors
what is the 3rd highest incidence of cancer in men and women
colon and rectal cancer
what are the risk factors for colon /rectal cancer
family
ulcerative colitis
sedentary lifestyle
high fat low fiber diet
smoking
alcohol
what are some of the screenings employed for colorectal cancer at age 50, or earlier if family history
FOBT
Flexible sigmoidoscopy Q5yrs
colonoscopy every 10 years
Prostate cancer screening
talk with md at 50, at 45 if AA or risk
screen prostate with digital exam or PSA
Monthly self exam starting at age 20
what are the risk factors for prostate cancer
PSA >2.5
genetics
age
race
what are the risk factors for cervical cancer
multiple sex partners
HPV
STI
what is the medicine that protects agains cervical cancer
Gardisil age 9-26
how does basal/squamous cell carcinoma look like
pale, wax like, pearly nodules or red scaly patch
how does melanoma look like
change in existing mole/freckle
new mole, freckle or other pigmented skin
what are the risk factors for skin cancer
sun exposure
tanning
multiple moles
fair complexion
family history
how do you prevent skin cancer
decrease sun exposure
SPF 15 or greater sun screen
hat and clothing
self inspection and awareness
what are the ABCDE's of inspecting moles or pigmented skin
A - asymetry
B - Border
C - color
D - diametern larger than 6mm
E - elevation
How do you diagnose cancer
1st step - history
clinical manifestations
complete diagnostic work up (labs. biopsy, imaging)
what are the clinical manifestations of cancer
may be none
local or metastasis
generalized weakness/fatigue/weight loss
pain
CNS changes
hematologic changes
what are the gradings of cancer
Grades 1 and 2 - well differentiated,minimally deviated from normal cells

Grade 3 and 4 - poorly differentiated and deviated from normal
what is stage 0 of cancer
cancer in situ (without spread)
what is stage 4 of cancer
distant metastasis and worst prognosis
what are the treatment goals of cancer
- appropriate therapy
- control cancer
- palliative or alleviation of clinical manifestation
- rehab to maintain quality of life