Family Medicine Aquifer questions with answers. Complete study set. Graded A+
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Course
Family Medicine
Institution
Family Medicine
Family Medicine Aquifer questions with answers. Complete study set. Graded A+
Document Content and Description Below
Increased risk of breast cancer - first degree relative with breast cancer, menarche before age 12, monopause after 45, advanced age of first pregnancy, advanced age, increased wei...
family medicine aquifer questions with answers complete study set graded a document content and description below increased risk of breast cancer first degree relative with breast cancer
Family Medicine Aquifer questions with answers. Complete study set. Graded A+ Increased risk of breast cancer - ✔✔first degree relative with breast cancer, menarche before age 12, monopause after 45, advanced age of first pregnancy, advanced age, increased weight, increased breast density When to stop Pap smears - ✔✔ages 65 -70 who have had 3+ normal paps in the past 10 years. not sexually active, hysterectomy for benign disease mammogram screening according to the USPSTF - ✔✔biennnial testing from ages 50 -74 for normal risk mammogram screening according to ACOG and ACS - ✔✔start a t age 40 and continue as long as woman in good health Cigarette smoking immunizations - ✔✔Annual influenza Pneumococcal vaccinations Td every 10 years, Tdap 1 time Shingles after age 50 BMI devisions - ✔✔underweight <18.5 Ideal 18.5 -25 overweight 25 -30 obese 30 -40 Morbidly obese >40 Melanoma ABCDE - ✔✔Asymmetry Border Color variation - blue, black, brown Diameter >6 mm Evolving Lung cancer screening - ✔✔55-80 years with 30 pack year history and currently smoking or quit within the past 15 years Colon cancer screening - ✔✔ages 50 -75 with normal risk Causes of insomnia in elderly - ✔✔1. Environmental problems 2. Drugs, alcohol and caffeine 3. Parasomnias ( RLS, rem disorders) 4. Disturbances in sleep -wake cycle (shift work) 5. Psychiatric disorders 6. Cardiorespiratory disease (asthma, COPD, heart failure) 7. Pain or pruritus 8.GERD 9. Hyperthyroidism SIG E CAPS - ✔✔Sleep Interest Guilt Energy Concentration Appetite Psychomotor Suicide Length of time to diagnose Major Depressive Disorder - ✔✔4 weeks MDD vs grief - ✔✔MDD has: -guilt about things other than actions taken or not taken at the time of death -thought of death other than feeling that he/she would be better off dead or with deceased -morbid preoccupation with worthlessness -marked psychomoto r retardation -prolonged and marked functional impairment -hallucinations other than hearing voice of deceased Elders who attempt suicide - ✔✔-drug overdose most common -more likely to be widows/ers that live alone -reduced sleep quality -suicidal behavio rs do not increase with age, but rates of completed suicides do Lab tests to rule out medical causes of insomnia, fatigue and depression - ✔✔CBC, CMP, TSH ESR if rheumatologic suggested ECG if patient on drugs that alter cardiac conductivity (TCAs) Achilles Tendon Rupture - ✔✔usually one to two inches above tendinous insertion on calcaneous, greatest btwn 30 -50 yrs of age, typically be unable to stand on their toes and tend to exhibit a positive Thompson test compartment syndrome symptoms - ✔✔-Sever e pain out of proportion to what's expected -Pallor -Parasthesia -Paralysis
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