Family Medicine

Front 1

Treatment for Cluster Headaches
-Acute abortive therapy
-Prophylaxis




Answer

Back 1

Cluster Headaches

-Abortive: 1st line = OXYGEN AND TRIPTANS

-Prophylaxis: 1st line = Verapamil

Front 2

Tertiary Prevention

Back 2

In tertiary prevention, the objective is to prevent disease-related complications in patients in whom a particular disease has already been identified. The goal of tertiary prevention is to minimize the amount of disability caused by the condition.

Hint 2

An example of tertiary prevention is the recommendation that all patients with diabetes receive routine ophthalmologic exams to prevent diabetes-associated retinopathy.

Front 3

What vaccine is NOT administered after the age of 5?

Back 3

Hib

Front 4

Vaccines for chronic liver disease

Back 4

HAV, HBV, Tdap (once then booster every 10 yrs with Td), Influenza, Pneumovac (1 dose with repeat 5 years later)

Front 5

USPSTF recommendations for STI screening

Back 5

The USPSTF recommends that women at increased risk of infection be screened for chla- mydia, gonorrhea, human immunodeficiency virus, and syphilis. Men at increased risk should be screened for human immunodeficiency virus and syphilis. All pregnant women should be screened for hepatitis B, human immu- nodeficiency virus, and syphilis; pregnant women at increased risk also should be screened for chlamydia and gonor- rhea. Nonpregnant women and men not at increased risk do not require routine screening for sexually transmitted infections. Engaging in high-risk sexual behavior places persons at increased risk of sexually transmitted infections. The USPSTF recommends that all sexually active women younger than 25 years be considered at increased risk of chlamydia and gonorrhea. Because not all communities present equal risk of sexually transmitted infections, the USPSTF encourages physicians to consider expanding or limiting the routine sexually transmitted infection screen- ing they provide based on the community and populations they serve. (Am Fam Physician. 2008;77(6):819-824. Copyright © 2008 American Academy of Family Physicians.)

Front 6

USPSTF Mammography recommendation

Back 6

every 2 years in women between 50-74
(routine mam not necessary once 75 and older)

Front 7

USPSTF recommendation for Pneumococcal vaccine

Back 7

All people ≥ 65
AND
All people < 65 who have chronic CV, plum, hepatic, renal, metabolic (diabetes), or immunosuppression diseases
(persons vacc'd before 65 need a booster 5 yrs later)