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15 Cards in this Set
- Front
- Back
List the screening guidelines for colon cancer
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Fecal occult blood at 50, sigmoidoscopy q5yrs, colonoscopy q 10 rs
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List the screening guidelines for breast cancer
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Mammogram at age 40 (if - FH, if + use descretion as to when to do it) and CBE. Repeat mammo q 1-2 yrs +/- SBE
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List the screening guidelines for diabetes.
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If + RF or age 45, screen q 3 years. If overweight + 1 RF, screen q year.
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List the screening guidelines for thyroid disease.
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Assay at age 35 and q 5 yrs after.
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List the screening guidelines for Ovarian cancer.
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If + FH clinitian should initiate screening procedures.
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List the screening guidelines for pap smears.
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At age 21 or within 3 years of sex. Repeat q yr while under 30. After 30, if 3 normal in a row, q 3 yrs.
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List the screening guidelines for cholesterol
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Most agencies agree that screening at 45 and qu 5 yrs OR if +FH at 20 and q5 yrs. Others suggest starting at 20 and q 5 and if +FH 20 and q2yrs.
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What does ACHES stand for?
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Abdominal pain
Chest pain Headache Eye problems Severe leg pain |
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BRAIDED
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Benefits
Risks Alternatives Inquiries welcome and pts responsibility Decision to change mind is pts right Explanation that is understood by pt and in pts language Documentation |
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List the MOAs for POPs (4)
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Inhibition fo ovulation by decreasingGnRH pulses and inhibtion of + E2 feedback on FSH and LH
Suppression of midcycle peaksof LHand FSH (so no ovulation) Thikening of cervical mucous Development of atrophic endometrium. |
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Who are POPs ideal for? (4)
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Breastfeeding women
older women (decreased risk of thromboses) Women who cant take E2 Women who need temporary contraception (accutane, after rubella immunization, etc.) |
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What are the WHO cat 4 contraindications for POPs and depo?
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Current breast cancer
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What are the WHO cat 3 contraindications for POPs and depo?
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Breastfeeding <6wks
Current DVT Current of h/o ischemic heart disease h/o stroke migraine with focal sx psat breast Ca with no evidence of disease for 5 yrs acute viral hepatitis/cirrhosis BP >160-100 (depo) Vascular disease (depo) Diabetes >20 yrs or with vascualr involvement (depo) Use of liver/enzyme inducing rx. |
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MOA of copper IUD?
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Cu ions released which cause enzymes, prostaglandins and macrophages which impair sperm function
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Cu IUD WHO category 4?
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Pregnancy
PP sepsis, post-septic AB uterine anomaly, fibroids, CA Unexplained vag bleeding Cerivical CA |