Explicit Bias - answer-Conscious level
-Can be concealed
-Easy to self report
Implicit Bias - answer-Subconscious
-Not accessible through introspection
What is Affinity Bias? - answerType of bias:
Tending to like people that are similar to you
What is Confirmation Bias? - answerType of bias:
Seeks information that confirms pre-existing beliefs, attitudes
ex. This hurts doesn't it?
What is Halo Effect? - answerType of bias:
Everything is good because you like that person & vice versa
True or False. 50% of PCPs view obese as awkward, unattractive, and non-compliant -
answerTrue
What can you ask yourself to reduce bias? - answer1) Did I do all that I normally would?
2) Did I include the pt in goals, or was I directive?
3) Did I recommend all that was necessary, above and beyond, or was there something
more I could've done?
How can you standardize practices for bias'? - answer-Use standardized measures
consistently
- Consistently use screening/exam/management principles
What are the 3 Types of Prevention? - answer-Primary
-Secondary
-Tertiary
What is Primary Prevention? - answerAimed at preventing the onset of specific
diseases
,ex. screening everyone or providing immunizations to everyone
What is Secondary Prevention? - answerAimed at detecting and treating pre-clinical
manifestations/individuals at risk
ex. Cancer screen for individuals w/ familiar risk of lung cancer
What is Tertiary Prevention? - answerMinimize impact of a condition to improve
function, longevity, and QOL
ex. Physical therapy
Incidence vs Prevalence - answerIncidence: Number of new cases
Prevalence: Number of total cases
What are social determinants of health? - answerthe circumstances in which people are
born, grow up, live, work and age. This also includes the systems put in place to offer
health care and services to a community
What is Alcohol Use Disorder? - answerA MEDICAL CONDITION of maladaptive
pattern of use leading to significant impairment or distress
What problems/behaviors are commonly seen in individuals w/ alcohol use disorder? -
answerProblems in one or more of the following in a 12 month period:
-Work, home, school obligation
-Hazardous activities/risk taking behaviors
-legal problems
What are characteristics of substance dependence - answer-Tolerance
-Preoccupation (Thoughts always moving toward alc)
-Compulsion (There is nothing else you can think about beside alc)
-Withdrawal
3 Types of Non-pharmacological tx for alcohol use disorder - answer- counseling
- support
- lifestyle changes
Risk Factors of Alcoholism (7) - answer-Male
-White
-Age
-Family Hx
-Previous personal hx
-Depression and other MH conditions
-Social and Cultural Factors
, What is Binge Drinking? - answerPattern that brings BAC to 0.08 grams % or higher
Binge Drinking: Men vs Women - answerMen: >/= 5 drinks in about 2 hours
Women: >/= 4 drinks in about 2 hours
How many drinks/wk do comorbidities develop? - answer15-22 d/wk
Clinical Presentation of Alcoholism - answer-Inappropriate behavior
-Frequent lateness
-Frequently arrive on wrong day/time
-Smell of Alcohol
What 4 comorbidities are common w/ alcohol disorders? - answerLiver, GI, htn,
osteoporosis
What 3 mental health sx are common individuals w/ alcohol disorders? -
answerAgitation, Mood swings, panic attacks
4 Social Consequences of Substance Use - answer-Dysfunction within family
-Work/school performance
-Legal issues
-Financial Issues
Screening Questions for Alc Dependency: CAGE - answerC - cut down (Anyone ask
you to cut down on alc??
A - Annoyed (Do you get annoyed if anyone asks about your alc consumption?)
G - Guilty (Are you guilty of drinking?)
E - Eye opener (Do you need a drink the first thing in the morning?)
What is Tetralogy of Fallot? When is tetralogy of fallot detected? - answerA type of
cardiac defect that causes oxygen poor blood.
Detected: At birth or later—depending on the severity
What are 6 risk factors for tetralogy of fallot? - answer-Mother >40 yo
-Viral illness in mother
-Maternal alcoholism
-Parent with tetralogy of fallot
-Poor nutrition
-Downs
Basically 4 out of the 6 risk factors is your mother's fault :(
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