FNP Leik System Review (A+ Graded)

Chapter 4 (Preventive Health) correct answers Sensitivity correct answers (SNOUT) Negative results rules out the disease. Sensitivity test are good at identifying the positive markers of disease. So good that it is more prone to report false positives. So a negative result is more definitive Specificity correct answers (SPIN) Positive results rules in the disease. Specificity tests are good at identifying the negative marker of a disease. So good that is more prone to report false negatives. So a positive result is more definitive. Primary Prevention correct answers Prevent the disease in its entirety. Examples include healthy diet, exercise, safety (helmets/seatbelts), immunizations, and job safety Secondary Prevention correct answers Early detection of a disease. Examples include screening tests Tertiary Prevention correct answers Rehabilitation of a disease. Examples include support groups, education for pts with pre-existing disease, drug side effect safety, medical equipment safety, any type of rehab like PT or OT Breast Cancer Screening Guidelines (USPSTF) correct answers Onset = 50yo. Biannual. Stop at age 74yo. No SBE. Breast Cancer Screening Guidelines (ACA) correct answers Onset = 40yo. Annual. No stop age. Cervical cancer screening guidelines correct answers Onset=21yo (immunocompromised individuals start at onset of sexual activity). Every 3 years Pap w/ no HPV test until 30yo. Pap and HPV test after 30 yo and can begin screening every 5 years. Stop at age 65yo. Complete hysterectomy means no Pap unless pt has history of cervical cancer or high grade lesion. Colorectal cancer correct answers Onset 50yo. 1) colonoscopy q 10 years if wnl, 2) sigmoidoscopy q 5 years if wnl, 3) annual FOBT with 3 stool samples. Stop age 75 yo. Prostate cancer correct answers USPSTF does not recommend screening with PSA but it based on individual pt. Lipid screening correct answers Onset 18-35/45yo screen if at increased risk of heart disease. Males 35yo and Females 45yo Flu vaccine correct answers LAIV - Live virus can only be given to healthy non-pregnant 2 -49 yo w/o recent hx of asthma (Peds). Cautioned or C/I in pts with egg, gentamicin or gelatin allergy and kids receiving aspirin therapy (Reye's syndrome). TIV (trivalent inactivated vaccine) is approved for 6months.