FNP Leik System Review Exam Questions And Answers

FNP Leik System Review Exam Questions And Answers Chapter 4 (Preventive Health) - ANS Sensitivity - ANS (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 - ANS (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 - ANS Prevent the disease in its entirety. Examples include healthy diet, exercise, safety (helmets/seatbelts), immunizations, and job safety Secondary Prevention - ANS Early detection of a disease. Examples include screening tests Tertiary Prevention - ANS 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) - ANS Onset = 50yo. Biannual. Stop at age 74yo. No SBE. Breast Cancer Screening Guidelines (ACA) - ANS Onset = 40yo. Annual. No stop age. Cervical cancer screening guidelines - ANS 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 - ANS 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 - ANS USPSTF does not recommend screening with PSA but it based on individual pt. Lipid screening - ANS Onset 18-35/45yo screen if at increased risk of heart disease. Males 35yo and Females 45yo