QUESTIONS AND ANSWERS 100%
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Mortality statistics - Correct AnswerLeading cause of death (all ages/genders)
1. heart disease (or diseases of the heart.
2.Cancer (or malignant neoplasmas)
3. Chronic lung diseases (or chronic lower respiratory diseases)
Cancer mortality - Correct Answerleading cause of cancer deaths: lung cancer
leading cause of cancer deaths in men: lung cancer
leading cause of cancer deaths in women: lung cancer
Leading causes of death in adolescents
Death rate for teen males is higher than for females - Correct Answeraccident/injuries
(48%). The most common cause is car accidents.
Homicides (13%0
Suicide (11%). watch teens for signs of depression, excess stress, and suicidal
behavior.
Open communication between the adolescents and the parents/caretakers (or persons
they trust) is extremely important - Correct Answerin preventing teenage suicide
Unintensional injuries (accidents are the leading cause of death in the united states for -
Correct Answerpersons aged 1 to 19.
Average life expectency is - Correct Answer78.5 years
Cancer statistics: prevalence - Correct AnswerMost common cancer: skin cancer
Most common type of skin cancer: Basal cell cancer (but melanoma causes 75% of
deaths from skin cancers)
Most common cancer by gender (prevalence): Males: prostrate
females: breast cancer.
Screening Tests
Sensitivity - Correct AnswerThese screening tests detect individuals who have the
disease.
Highly sensitive test have higher risk of false positives.
for example, the HIV ELISA has a 99% sensitivity for HIV antibodies, but it is too
sensitive and can be "false positive"
next step is the western Blot test , which is very apecific for HIV (the confirmatory test)
Specificity - Correct AnswerThese screening tests detect individual who do not have the
disease.
, These three methods are all acceptable. the screening intervals of each methods differ:
- Correct Answer1. high-sensitivity fecal occult blood test (FOBT) x3 consecutive stool
samples annually.
2. Flexible sigmoidoscopy every 5 years
3. Colonoscopy every 10 years
colorectal cancer screening - Correct AnswerStart at age 50 years until the age of 75
(older age is the most common risk factor)
age 76 to 85 years - Correct Answeragainst routine screening but "there may be
consideration" individualize.
> 85 years - Correct Answeragainst screening for colorectal cancer.
Lipid disorders - Correct AnswerTotal lipid profile after a 9-hour (minimum) fast.
Males: age 35 years or older - Correct AnswerScreen for Lipid disorders
Males: age 20 to 35 years - Correct AnswerScreened lipid disorder if at increased risk of
heart disease.
Females: 45 years or older - Correct AnswerScreen for Lipid disorders
Females: age 20 to 45 years - Correct AnswerScreened lipid disorder if at increased
risk of heart disease (i.e. hypertension, strong family history of MI, or Stroke)
Prostate cancer - Correct AnswerThe USPSTF does not recommend prostate-specific
antigen (PSA) screening for prostate cancer.
Skin cancer counseling - Correct AnswerRecommended for children, adolescents, and
young adults (ages 10 to 24 years) with fair skin.
Education for skin cancer includes - Correct Answeravoidance of sunlight from 10am to
4pm , use of SPF 15 or higher sunblock, protective clothing, wide-brim hats.
Routine screening is not recommended by the USPSTF for the following conditions -
Correct AnswerLung cancer
Ovarian cancer
Oral cancer
Prostrate cancer
Testicular cancer (Adolescents or adult males;
Routine screening is recommended by the USPSTF for depression - Correct
Answeradolescents (12-18 years), start screening for depression. look for
signs/symptoms.