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10 Cards in this Set
- Front
- Back
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Guidelines for beginning Pap smears? (ACOG)
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Women age 21 (HPV --> Squamous metaplasia of TZ of cervix). 21-30: q 2yrs, > 30: q3 yrs (if previously had 3 negative)
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ACOG Breast Cancer guidelines for low-risk patient? (ACS guidelines are different is different)
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Mammograms: age 40-49 q1-2 yrs; then yearly @ age 50. ACS: age 40 yearly. Note no routine screening < 40 w/ no fhx.
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40 yo w/ FHx + (mom w/ breast cancer @ 36). She's a new patient. Appropriate next screening test?
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Mammogram. She's high risk, also consider BRCA and possible trial studies. If Mammogram abnormal --> order MRI/US
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Contraceptive method (other than abstinence) most effective @ preventing STDs...
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MALE condoms >> spermcides, diaphragms and female condoms
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Other than abstinence, most effective BCM...
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Depo, IUD, sterilization, and implanon ALL act with a <1% failure rate. OCPs have a 3% failure rate & condoms 12%. Spermicide has 18%!!
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List Risk factors for osteoporosis
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early menopause, glucocorticoid therapy, sedentary lifestyle, EtOH, HyperPTH, Hyperthyroid, anticonvulsant, vit D def, Chronic liver or renal disease.
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What vaccination is contraindicated if patient plans to get pregnant w/in 4 weeks of now?
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MMR and varicella (live attenuated viruses). also include zoster, vaccinia, BCG and live influenza to this list.
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#1 killer in Women?
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CVD. If early enough (only abnormal is +FHx), intial recommendation = healthy diet and aeroibic exercise.
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28 yo hx of irregular menses (now on OCPs and resolved), acanthosis nigricans, 62 inches and 180 lbs. Next step in management?
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get a diabetes screen, insulin resistance is associated w/ acanthosis nigrcans.
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Folate recommendations in women of reproductive age? Why?
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400 mcg regardless of plans. folate --> lowers homocysteins --> decreases MIs and adverse coronary events. And prevents NT defects
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