Health Screening in the General population Flashcards Preview

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Flashcards in Health Screening in the General population Deck (61)
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1

What is primordial prevention?

Prevent penetration of risk factors in a population

2

What is primary prevention?

Limit the incidence of disease by controlling the causes/risk factors

3

What is secondary prevention?

Interrupting the disease before it becomes symptomatic

4

What is tertiary prevention?

Limit the physical and social consequences of symptomatic disease

5

What is health screening?

identifying apparently healthy individuals who may be at increased risk of a disease or condition; looks for diseases before symptoms appear

6

What are the criteria for an appropriate screening test (3)?

-Common
-Morbidity/mortality risk high
-Must be able to treat (better than reactionary)

7

What is a surrogate marker?

Lab measurement or physical sign that is used in therapeutic trials as a substitute for a clinically meaningful endpoint

8

What are guidelines?

Safest route of addressing an issue

9

What is prevalence?

Proportion of people in a population who have a given disease or atribute

10

What is sensitivity?

It is measured as the proportion of those with the condition, who have a positive test result. It is the same as the detection rate.

11

What is specificity?

It is measured as the proportion without the condition, who have a negative test result

12

What is positive predictive value?

the probability that a patient with a positive (abnormal) test result actually has the disease.

13

What is negative predictive value?

probability that a person with a negative (normal) test result is truly free of disease.

14

What is the equation for positive predictive value?

True positives/total positives

15

What is the equation for negative predictive value?

True negatives / total negatives

16

What does it mean for a credible guideline to be broad-based?

Should go beyond effectiveness to look at harm, cost, and other clinically relevant factors

17

What does it mean for a credible guideline to have receny?

Not out of date

18

What does it mean for a credible guideline to have imprimatur?

Guidelines are respoected by professional organizations

19

What grade of the USPSTF is recommended against doing something?

C or lower

20

What are the guidelines for

140/90

21

What are the guidelines for >60 for HTN?

150/90

22

What are the guidelines for DM/CKD pts with HTN?

140/90

23

What is the recommendation for screening children for HTN?

No clear benefit

24

What is the recommendation for screening elderly for HTN?

Consider checking standing readings after one and three minutes to screen for postural hypotension, especially in the elderly.

25

What is the recommendation for screening blacks for HTN?

Same BP, but put on thiazide/Ca channel blockers

26

What percent should you treat with statins, after using the calculator?

7.5%

27

What is part of the risk determination for CVD: HDL, LDL, or total cholesterol?

HDL and total,

28

What is the gold standard for colon cancer screening?

Colonoscopy q 10 years

29

How often do you get a flexible sigmoidoscopy with FOBT?

5 years

30

When should you stop screening for CVD?

No set time of stopping