NU 674 MIDTERM EXAM VERIFIED
STUDYGUIDE
primordial prevention
type of prevention that is population/environment focused
(ex: wearing seatbelt, safe water testing)
primary prevention
type of prevention that prevents a disease from occurring
(vaccination, health promotion, teeth brushing)
secondary prevention
type of prevention that emphasizes early disease
detection, target populations for at risk diseases
(mammography, colonoscopy, pap smear)
tertiary prevention
type of prevention that is implemented in already
symptomatic patients, aims to reduce the severity of
disease (routine check ups, DM mgmt teaching)
quaternary prevention
type of prevention that identifies patients at risk of over
medicalization (pt advocacy, prevent unnecessary
treatments/tests)
USPSTF (U.S. preventative service task force)
organization in which NPs can find guidelines to follow for
practice
AAFP (American Academy of Family Physicians)
organization responsible for reviewing the USPSTF
guidelines
3-5years
,patients over the age of 20 should have CVD risk
assessment how often?
18-25
considered normal BMI
DM
adults with HTN, HLD or age 40-70 with BMI >25 you
should be screening for what other disease?
annually
how often should a women over 40 get a mammogram?
every 3 years
how often should women between age 21-29 get a pap
smear?
age 50 (then every 10 years from then)
what age do you start screening for colon cancer?
(colonoscopy)
50
men should consider screening for prostate cancer at what
age?
a PPSV23 dose 1 year later
pts over the age of 65 who have no previously gotten
pneumococcal vax need wither 1 dose of PCV15 or 1
dose of PCV20 - additionally, what else do they need if
given the PCV15 dose?
hep C
specifically for patients born in the USA between 1945-
1965, what do you need to screen for?
COVID 19
cough, fever, myalgia, headache, dyspnea, sore throat,
dysgeusia, anosmia, maculopapular rash, and
discoloration of fingers/toes are sx of:
mild illness
, pts with covid that have fever, cough, sore throat, malaise,
headache, N/V/D, anosmia, ageusia but do NOT have
SOB, dyspnea or abnormal chest imaging are classified as
having
moderate illness
pts with covid that show evidence of lower respiratory
disease during clinical assessment or with imagine AND
who have SpO2 >94% on room are are classified as
having
severe illness
pts with covid that have SpO2 of <94% on room air, RR
>30, or lung infiltration >50% are classified as having
critical illness
pts with covid that have respiratory failure, septic shock,
and multiple organ dysfunction are classified as having
consolidating and ground glass opacities bilaterally
CXR for covid will show:
renal function
what is important to check prior to prescribing Paxlovid
GFR between 30-60 - half the dose of nirmatrelvir
GFR <30 do NOT given Paxlovid
Paxlovid treatment recommendations for those with renal
impairment
Paxlovid
which Covid medication is proven safe for pregnant
women
3 day IV course: day 1 200mg, day 2 and 3 100mg;
must be given within 7 days of symptom onset
Remdesivir outpt dosing
elevated LFTs, increase in PTT, GI effects,
hypersensitivity
STUDYGUIDE
primordial prevention
type of prevention that is population/environment focused
(ex: wearing seatbelt, safe water testing)
primary prevention
type of prevention that prevents a disease from occurring
(vaccination, health promotion, teeth brushing)
secondary prevention
type of prevention that emphasizes early disease
detection, target populations for at risk diseases
(mammography, colonoscopy, pap smear)
tertiary prevention
type of prevention that is implemented in already
symptomatic patients, aims to reduce the severity of
disease (routine check ups, DM mgmt teaching)
quaternary prevention
type of prevention that identifies patients at risk of over
medicalization (pt advocacy, prevent unnecessary
treatments/tests)
USPSTF (U.S. preventative service task force)
organization in which NPs can find guidelines to follow for
practice
AAFP (American Academy of Family Physicians)
organization responsible for reviewing the USPSTF
guidelines
3-5years
,patients over the age of 20 should have CVD risk
assessment how often?
18-25
considered normal BMI
DM
adults with HTN, HLD or age 40-70 with BMI >25 you
should be screening for what other disease?
annually
how often should a women over 40 get a mammogram?
every 3 years
how often should women between age 21-29 get a pap
smear?
age 50 (then every 10 years from then)
what age do you start screening for colon cancer?
(colonoscopy)
50
men should consider screening for prostate cancer at what
age?
a PPSV23 dose 1 year later
pts over the age of 65 who have no previously gotten
pneumococcal vax need wither 1 dose of PCV15 or 1
dose of PCV20 - additionally, what else do they need if
given the PCV15 dose?
hep C
specifically for patients born in the USA between 1945-
1965, what do you need to screen for?
COVID 19
cough, fever, myalgia, headache, dyspnea, sore throat,
dysgeusia, anosmia, maculopapular rash, and
discoloration of fingers/toes are sx of:
mild illness
, pts with covid that have fever, cough, sore throat, malaise,
headache, N/V/D, anosmia, ageusia but do NOT have
SOB, dyspnea or abnormal chest imaging are classified as
having
moderate illness
pts with covid that show evidence of lower respiratory
disease during clinical assessment or with imagine AND
who have SpO2 >94% on room are are classified as
having
severe illness
pts with covid that have SpO2 of <94% on room air, RR
>30, or lung infiltration >50% are classified as having
critical illness
pts with covid that have respiratory failure, septic shock,
and multiple organ dysfunction are classified as having
consolidating and ground glass opacities bilaterally
CXR for covid will show:
renal function
what is important to check prior to prescribing Paxlovid
GFR between 30-60 - half the dose of nirmatrelvir
GFR <30 do NOT given Paxlovid
Paxlovid treatment recommendations for those with renal
impairment
Paxlovid
which Covid medication is proven safe for pregnant
women
3 day IV course: day 1 200mg, day 2 and 3 100mg;
must be given within 7 days of symptom onset
Remdesivir outpt dosing
elevated LFTs, increase in PTT, GI effects,
hypersensitivity
