Public Health Block 3

Front 1

Most often Dr. has questions centered around?

Back 1

Treatment and Diagnosis / evaluation (biggest concern)

Front 2

Goals of EBM

Back 2

1. Improve physician practice patterns
2. transform healthcare sys
3. educate healthcare consumers
4. guide healthcare prog and polices (b/c its multi chaning)

Front 3

EBM is not

Back 3

-old hat
-cook book medicine
-impossible to practice
-cost-cutting medicine
-restricted to only randomized trials and complex meta-analyses studies

Front 4

4 questions to ask about EBM

Back 4

1. is the study valid?
2. What are the results?
3. Will the results help in caring for my patient?
4. How will the results change my clinical decisions?

Front 5

Risk Factors of CVD

Back 5

Conditions- hyperlipidemia, hypertension, diabetes
Behavior- smoking, obesity, alcohol

Front 6

what is moderate drinking?

Back 6

Male - no more than 2 drinks a day
Female- no more than 1 drink a day

Front 7

standard drink

Back 7

12 oz beer
5 oz glass of wine
1 mixed drink with 1.5oz spirit 80 proof

Front 8

Normal BP

Back 8

120/80

Front 9

prehypertension BP

Back 9

120-139/ 80-89

Front 10

stage 1 hypertension BP

Back 10

140-159/ 90-99

Front 11

stage 2 hypertension (moderate)

Back 11

160-179/ 100-109

Front 12

stage 3 hypertension (severe)

Back 12

greater than 180 / 110

Front 13

Decreasing BP by 12mmHg for stage 1 over 10yrs will prevent

Back 13

1 death for every 11 patients treated

Front 14

Normal BMI

Back 14

18-24.9

Front 15

BMI overweight

Back 15

25-29.9

Front 16

BMI obese

Back 16

greater than 30

Front 17

Dietary Approach to Stop Hypertension (DASH)

Back 17

1600mg Na diet = single drug regimen
(and increase in K+ rich food is the same as putting someone on a drug)

Front 18

1st drug of choice for hypertension

Back 18

Thiazide
(most patients require 2 or more agents)

Front 19

3rd leading cause of death in USA

Back 19

Stroke (cerebral vascular disease)

(pipes plug or burst)

Front 20

Maternal Mortality Rate

Back 20

ratio of pregnancy related deaths to live births for a particular geographic areas

Front 21

Abortion rate vs Abortion ratio

Back 21

rate- # abortion/1000women
ratio-# abortion/1000live births

Front 22

risk factors for ectopic preg

Back 22

prior history
tubal surgery
PID
infert
smoking
progestin exposure

Front 23

Still Birth

Back 23

fetal death after 20Weeks or greater than 500gm
(have to generate death cert now)

Front 24

Perinatal death

Back 24

fetal and infant death between 28weeks and 1 week postnatal with infant greater than 500gm

Front 25

Neonatal death

Back 25

death of live born infants within 28days of age

Front 26

Infant death

Back 26

death of children less than 1yr of age (but older than 28 days)

Front 27

Preconception care begins

Back 27

anyting a female becomes of childbearing age and remains in place for life

Front 28

chronic disease risk factors for preg

Back 28

- Diabetes
- Hypertension
- Thyroid Disease
- Autoimmunity

Front 29

Infectious diseases risk factors for preg

Back 29

- Vaccine preventable
- HIV
- STD
- Cytomegalovirus

Front 30

Reproductive Concerns risk factors for preg

Back 30

Unplanned preg
contraception
Infertility
Prior adverse preg outcomes

Front 31

Low Birth weight

Back 31

less than 2500gm (5.5Ibs)

Front 32

use of controlled substance for reason other than that for which it was intended for different dosages then has been prescribed. Pattern of misuse does NOT lead to disability/ dysfunction.

Back 32

Misuse

Front 33

use of controlled substance outside normally accepted standards RESULTING IN disability/dysfunction

Back 33

Abuse

Front 34

Catastrophic use

Back 34

use of controlled substance that involves illegal activity and places one in risk of harm

Front 35

Either a need for increase amounts of substance to achieve the desired effect or diminished effect despite continued use of the same amount of substance.

Back 35

Tolerance

Front 36

Manifested by characteristic syndrome of sudden abstinence but may be relieved or avoided if the same or closely related substance is taken

Back 36

withdrawl

Front 37

Risky drinking

Back 37

-more than 7 drinks/week or more than 3 drinks per occasion for Women

-more than 14 drinks/week or more than 4 drinks per occasion for Men

Front 38

Harmful drinking

Back 38

currently experiencing physical, social or psychological harm from alcohol use but do not meet criteria for dependence

Front 39

Acute Alcohol Withdrawal Syndrome

Back 39

when individual decrease or discontinue alcohol use
- Delirium tremens requires hospitalization. Severe alcohol withdrawal requires hospitalization. (med emergency)
- Mild withdrawal can be managed as outpatient. (sympathetic overdrive)

Front 40

Dextromethorphan is substituted for

Back 40

Ecstasy

Front 41

___% adults consume behaviorally active doses of caffeine

Back 41

80%

Front 42

Treatment of Opiate dependence

Back 42

agonist substitution

Front 43

Treatment of Physcostimulants dependence

Back 43

psychotherapy

Front 44

Treatment of Benzodiazepeines dependence

Back 44

gradual reduction

Front 45

Palpatory findings in Type 2 Diabetes

Back 45

T11-L2 (right side)

Front 46

Palpatory findings in Type 2 Diabetes AND hypertension

Back 46

Bilateral changes at T11-L2

Front 47

Gravid Female Uterus gets sympathetic from ____ and parasympathetic from ____

Back 47

symp - T10-L2
Parasymp - S2-S4

Front 48

OMM in OB is traditionally aimed at

Back 48

soft tissue at L5 spine to enhance primary and secondary respiration

Front 49

OMM in OB may be instituted as early as ___ hours post C-section

Back 49

4-5hours

Front 50

Contraindiction to OMM in OB

Back 50

- during labor
- abruptio presentations (crash section)
- membrane rupture with poor amniotic fluid
-Ectopic

Front 51

Asthma and COPD most common somatic changes at what levels?

Back 51

T2-7 and C2-3

Front 52

Haddon Matrix

Back 52

(host, agent, environment)
3 phages of inury (pre-event, event and post-event)

Front 53

leading cause of death in less then 1 year of age

Back 53

unintentional suffocation
(choking or stangulation)

Front 54

2nd leading cause of death in an infant or toddler

Back 54

drowning

Front 55

leading cause of traumatic brain injury in an infant and toddler

Back 55

shaken baby and blunt trauma

Front 56

MADD rating scores of states reveal a grade of "D" is __% more likely to report a alcohol impaired driving than residents from states with a grade "A"

Back 56

60%

Front 57

workers who take off work because of stree, anxiety or a related disorder will be off the job for about

Back 57

20days

Front 58

colorectal cancer occurs in ppl with only average risk ___%

Back 58

80%

Front 59

recommend screening for colorectal cancer at age

Back 59

50

Front 60

___% of all tumors indentified on sigmoidoscopy alone

Back 60

80%`

Front 61

postive sigmoidoscopy requires

Back 61

follow up colonoscopy

Front 62

what do you use for screen for prostate cancer?

Back 62

digital rectal exam and PSA levels
(just 1 by itself not as good as both together)