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38 Cards in this Set
- Front
- Back
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what is a level I quality of evidence?
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at least 1 properly designed randomized controlled trial
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what is a level II-1 quality of evidence?
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well designed controlled trials without randomization
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what is a level II-2 quality of evidence?
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well designed cohort or studies
preferable from more than 1 group |
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what is a level II-3 quality of evidence?
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multiple time series with or without intervention
dramatic results from uncontrolled trials |
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what is a level III quality of evidence?
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opinions of respected authorities
(based on experience, studies, reports) |
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what is a level A classification of evidence?
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GOOD evidence to recommend clinical preventitive action
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what is a level B classification of evidence?
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FAIR evidence to recommend clinical preventitive action
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what is a level C classification of evidence?
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CONFLICTING evidence, does not allow recommendation either way
other factors may influence |
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what is a level D classification of evidence?
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FAIR evidence to recommend against action
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what is a level E classification of evidence?
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GOOD evidence to recommend against action
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what is level I of classification of evidence?
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INSUFFICIENT evidence to make a recommendation
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what level recommendation is urine culture in pregnancy for bacteriuria?
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A
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what level recommendation is Rh screening and Ig administration after delivery of Rh+ infant (pregnancy)?
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A
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what level recommendation is promotion of breast feeding?
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A
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what level recommendation is smoking cessation interventions during pregnancy?
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A
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what is CVS and when is it done?
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chorionic villi sampling
10.5-12 weeks |
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when is amniocentesis done?
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15 weeks (can be later)
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when is triple screen done?
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15-17 weeks
(can be 15-20) |
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what does triple screen measure?
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alpha feta protein
unconjugated estriol human chorionic gonadotropin |
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when is detailed ultrasound done?
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18 weeks
(16-20) |
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when is diabetes screen done in pregnancy?
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24-28 weeks
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what are 5 standard checks in late pregnancy care (24, 28, 32, 34...)?
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1. weight (gain 1 lb/wk)
2. BP 3. fundal height (~#wks) 4. urine dip 5. fetal HR |
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when do you start to enquire about fetal movement?
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28 weeks
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approximately how many babies are breach at 36 weeks?
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~8%
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when do pregnant women typically start to "slow down"?
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32 weeks
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in the last few weeks of term, how many pounds per week does the baby gain?
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~200-250 lbs/week
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what is considered full term?
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37-41 weeks
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what is the latent phase of labour?
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dilated ~3 cm
mild irregular contractions 6-30 minutes apart can last 24 hours or more |
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what characterizes the first stage of active labour?
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dilated 3-10 cm
painful contractions 3-5 minutes apart 5-10 hours (1st), 2-5 hours (2nd) |
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what characterizes the second stage of active labour?
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fully dilated to delivery
duration varies with "experience": 2 minutes - 1.5 hours |
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what characterizes the third stage of labour?
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delivery of baby to delivery of placenta
5-15 minutes |
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what are the top three causes of death in BC?
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1. cancer
2. cardiovascular disease 3. cerebrovascular disease |
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how do you break bad news?
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S - set up interview
P - assess patient's perception I - obtain patient's invitation K - give knowledge and info E - emotions and empathy S - strategy and summary |
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where does FIFE fit in SOAP?
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S
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what are 3 components of evidence based medicine?
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1. evidence
2. patient/physician factors 3. constraints |
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what does P.I.C.O. stand for?
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patient/problem
intervention/exposure comparison outcome |
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what are 4 things to focus on when formulating a clinical question?
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therapy
diagnosis prognosis etiology |
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what are the geriatric giants?
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delerium, depression, dementia
incontinence, illness interactions polypharmacy, atypical presentations falling |
