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Normal Mole - ANSWER ✓ most are harmless; evenly colored brown/tan or
black spot, can be flat or raised, round or oval; if there's an abnormal shape/larger
mole/abnormal color à turn into melanoma
Melanoma - ANSWER ✓ less common
most dangerous type
different colors, jagged border
occur anywhere on skin (women: neck. face; men: chest, back)\may grow quickly
and spread to surrounding skin
not common in darker skin
Seborrheic Keratoses - ANSWER ✓ benign tumors/skin growths
tan/brown/black raised spots w/ wavy texture to rough surface
not contagious
Wart - ANSWER ✓ benign growths caused by infection with HPV; lumps /
bumps with a rough surface; CAN SPREADTHROUGH CONTACT; more
common in areas of broken skin (fingernails); if on bottom of feet =
PLANTARWART (hard to treat due to growing inward)
high sources of transfat - ANSWER ✓ Margarine, fried foods, and other
processed foods.
Based on the Dash diet & healthy plate, half of the plate should be filled with what
food group? - ANSWER ✓ Fruits and non-starchy vegetables should take up one
half of the plate.
,What are the 5 Ps for collecting a sexual history? - ANSWER ✓ P-Partners, P-
Practices, P-Protection from STDs, P-Past history of STDs and P-prevention of
pregnancy
What is the best method to collect a dietary history? - ANSWER ✓ 24 hour recall.
When should women with gestational diabetes be tested for diabetes? - ANSWER
✓ postpartum glucose testing performed 6 to 12 weeks after giving birth,
Testing at least every 1 to 3 years to check for diabetes or prediabetes
When should all people be tested for diabetes including children? - ANSWER ✓
all adults be tested for diabetes starting at age 45
risk factors for diabetes, testing may be recommended at a younger age
What risk factors should lead a male to discuss prostate cancer screening at age of
45? - ANSWER ✓ race (African American) and family history
According to ACOG, when is cervical cancer screening no longer recommended?
- ANSWER ✓ 65 and older who have had regular screenings with consistently
negative results in the past and are not at high risk for cervical cancer.
or 65 and older with three negative PAPs in a row, or two negative HPV tests in a
row.
What is the recommended LDL level for patients at high risk for ASCVD? -
ANSWER ✓ less than 70 mg/dL
How often should the glucose be checked once a patient has a positive screen for
prediabetes? - ANSWER ✓ annually
Discuss risk factors to breast cancer. - ANSWER ✓ family history, genetic
tendency( BCRA1 and BCRA2), age, DES exposure, radiation exposure, and
dense breast
When can women switch to mammogram every 2 years? - ANSWER ✓ at age
55yrs
, List some risk factors to skin cancer. - ANSWER ✓ family history, age (older),
blue or green eyes, blond or red hair, lighter skin color, and skin that burn or
freckle easy, occupation, UV exposure, older age.
Discuss preventive measures to skin cancer. - ANSWER ✓ avoid getting a
sunburn, use sunscreen with at least 30SPF everyday apply 15 to 30 minutes before
going outside and reapply every two hours if you are swimming or sweating, avoid
the sun between peak hours of 10am and 4pm, if you must go out between those
hours wear sunglasses, hats, and light colored clothing to cover your skin, check
your skin for abnormalities and have an annual skin exam from your PCP.
What is ABCDE of detecting melanoma? - ANSWER ✓ Asymmetry- One half
different from the other.
Border - Irregular or poorly defined
Color - Varied colors within
Diameter - Usually ≥ pencil eraser
Evolving - Spot looks different from the rest or is changing
Oral Procedures Requiring Prophylaxis - ANSWER ✓ All procedures involving
manipulation of gingiva, tooth apex, or perforation of oral mucosa
• Tooth extractions
• Periodontal procedures
• Periodontal procedures if bleeding anticipated
• Re-implantation of avulsed teeth
• Root canal treatment beyond the apex
• Initial placement of orthodontic bands (notbrackets)
Dental - Treatment Timing pregnancy - ANSWER ✓ First Trimester
• Elective treatments are often delayed because of higher spontaneous 1st trimester
miscarriage rates(medico-legal)
• In some states, woman have dental coverage only when pregnant and therefore
care should begin early
• Schedule 1st trimester visits in afternoon (morning sickness)
Second Trimester
• The optimal time for dental treatment• Organogenesis complete, fetus not large
Third Trimester
• Late in term very uncomfortable (short visits)
, • Position woman slightly on left side
Fluoride• No increased risk during pregnancy
Chlorhexidine• No increased risk during pregnancy
• Routine dental interventions are safe during pregnancy
Elder abuse evaluation - ANSWER ✓ Over 75 have more risk factor
- shared living arrangementso cognitive impairment with disruptive behaviors
- social isolation from family and friends
- caregiver mental illness
- alcohol misuse
- caregiver dependency on the older person (financial)-
Recommend routine screening and inquiry (twice yearly)- Elder abuse suspicion
index: five patient answered items, plus one physician question to identify patients
at risk. At least one yes response to questions 2-6 indicates a need for further
assessment.-
Ensure cognitive function prior to screening, if unsure administer mini-cog.-
Assess patient and differentiate disease process or normal aging from signs of
injuries.-
Interview caregiver and patient separately
Women's health - Cardiovascular Disease Prevention (Leading cause of death in
women) - ANSWER ✓ • Framingham risk calculator estimates a women's 10 year
risk of coronary heart disease based on age, smoking status, blood pressure, and
cholesterol levels.
• Pooled cohort risk assessments predict 10 year risk of atherosclerotic
cardiovascular disease (ASCVD). Same risk factors as Framingham, add race
(white or black) & diabetes.
Women's Health - Osteoporosis Prevention - ANSWER ✓ • Primary - Lifestyle→
reduce alcohol, stop smoking, exercise (strength & weight bearing)
Dietary intake *Ca supplements not rec., increased risk MI▪ Calcium → < 50:
1000mg/d & > 50: 1200mg/d
▪ Vitamin D→ < 70: 600 IU/d & > 70: 800 IU/d
• Secondary - BMD Screening starting @ 65 (& younger postmenopausal with
increased risk)
o pharmacologic intervention (meds not forever, usually 5 years)