FNP Leik System Review exam 2024 questions with correct answers

FNP Leik System Review exam 2024 questions with 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. Tetanus vaccine - Correct Answers-Q 10 years. Booster for dirty wounds if last TDAP/Td is 5 years old. 7yo receive Td/TDAP. Avoid in egg allergy and Gullian Barre. 5 doses of DTAP aka Pediarix (2,4,6,15 months and 5 yo) First TDAP is at age 11-12yo. Td is the booster every 10 years or if someone has never had TDAP (came out in 2005) then they should have a one time dose of TDAP and then continue with Td boosters. Pneumococcal vaccine - Correct Answers-PCV 23 given one time at age 65 yo in healthy adults and for persons who are 2 years and older and at high risk for pneumococcal disease (e.g., those with sickle cell disease, HIV infection, or other immunocompromising conditions). PPSV23 is also recommended for use in adults 19 through 64 years of age who smoke cigarettes or who have asthma. One time booster given 5 years after first dos