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15 Cards in this Set
- Front
- Back
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when do you start screening kids if they are at risk of developing CAD?
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- age 2
- risk: parents, grandparents, aunts/uncles with high cholesterol, premature CAD - if >170 the repeat in 5 years - if >200 order fasting lipid panel - if fhx of premature CAD, order fasting lipid immediately |
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colon cancer screening for high risk patients
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- high risk: pt with first degree relative with CRC or advanced adenoma; OR pt with two first degree relative with CRC or high grade adenoma
- get screened at 40 y.o. or 10 years prior to relative's dx-- whichever comes first - repeat q5years |
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baby born to mother with hep B
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- hep B Ig and vaccine w/in 12 hrs of birth
- second vaccination between 1-2 months - third vaccination at 6 months - test for HbsAg and Ab 3 months after 3rd vaccine aka at 9months |
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screening in those exposed to pt with TB?
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- get TB test immediately
- if negative then repeat in 3 months |
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interventions that provide greatest benefit to preventing osteo?
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- smoking cessation if pt smokes 1 ppd or more, raloxifene, calcium and vit D, d/c heparin or GC
- not that helpful: exercise, alcohol cessation, coffee, soda cessation |
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treatment of smoking cessation?
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- first line is nicotine patch to tx early w/d sx of smoking
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palpable breast mass if <30 y.o.
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- do US
- if simple cyst: needle aspiration if pt wants - if complex cyst/mass: image guided core biopsy |
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palpable breast mass if >30y.o.
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- mammogram and US
- suspicious? --> corebiopsy |
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screening mammography
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- ages 50-74 q2years
- clinical breast exam has been proven to do nothing in reducing breast cancer mortality |
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which are the egg containing vaccines?
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- influenza, yellow fever
- but usually safe to administer in hx of egg allergy b/c so minimal, but sometimes not minimal and pts react... |
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pt on HRT will have what changes in lipid panel?
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- can cause hyperTG
- discuss d/c HRT - note: d/c HRT will cause decrease in HDL |
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chlamydia testing?
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- in all women age 24 and younger
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pt in contact with meningitis
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- rifampin for 2 days
- cipro x1 - if pt on OCP use cipro b/c rifampin will decrease OCP |
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varenicline avoid in...
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- depression b/c of SI and bizarre behavior
- consider buproprion (unless hx of sz) |
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most important modifiable RF in stroke?
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- HTN
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