Snw's Medquest Preventative Medicine (Usmle Step 3)

Front 1

Breast cancer screening

Back 1

mammogram lowers mortality the most out of all cancer screening tests

mortality benefit greatest in pts >50

Front 2

Cervical cancer screening

Back 2

pap smears lowers mortality

start at 21 regardless of onset of sexual activity

perform q3 yrs until age 30

with HPV testing, can do q5 yrs from ages 30-65

stop screening at age 65

Front 3

Colon cancer screening

Back 3

colonoscopy is most effective test

for everyone, start colonoscopy at age 50 q10 yrs

virtual colonoscopy is NEVER right answer

with one family member with colon cancer

begin screening at age 40 OR 10 yrs earlier than when the family member was dx --> whichever is earlier

Front 4

HNPCC

Back 4

3 family members

2 generations

1 premature (before age 50)

start screening at age 25 and screen q1-2 yrs

Front 5

Influenza & Pneumococcal vaccination populations

Back 5

chronic lung, heart, liver, kidney, & cancer

HIV+

pts on steroids

pts with DM

healthcare workers

Front 6

Influenza vaccine

Back 6

everyone >50

injected vaccine is inactivated (egg allergy is NOT contraindication)

Front 7

Pneumococcal vaccine

Back 7

all patients >65

NOT pregnant

NOT healthcare workers

Front 8

Meningococcal vaccination

Back 8

routinely given at age 11

give earlier if:

functional or anatomic asplenia

terminal complement def

Front 9

HPV vaccination

Back 9

all females btwn 13-26

acceptable in boys but no guidelines

Front 10

Varicella-Zoster vaccine

Back 10

everyone >60

higher-dose form of varicella can be given to children

Front 11

Smoking cessation tx

Back 11

most effective:

bupropion

varenicline

less effective:

nicotine patches/gums

Front 12

Osteoporosis screening

Back 12

all women >65

DEXA scan

Front 13

Abdominal aortic aneurysm screening

Back 13

Only men who have smoked & are >65

screen one time with u/s

Front 14

Hyperlipidemia screening

Back 14

men >35

women >45

q5 yrs

Front 15

Annual CT screening in smokers

Back 15

55-80 yrs of age & heavy smokers (30+pack-yr-hx who currently smoke or quit within 15 yrs)