RISE and shine
What are the four elements of RISE?
Risk Factors
Immunizations
Screening
Education
How often is it recommended that adults receive a Td booster?
Every 10 years
What are the 4 stages of behavior change?
-Pre-contemplative
-Contemplative
-Active
-Relapse
Name 3 Hx taking tools that can be used to accurately assess a patient's diet history
-24hr recall
-Food frequency questionnaire
-Food diary
-Usual diet history
What max number of drinks per day is considered "moderate" for men and for women?
1 for women, 2 for men.
Name 4 of the most frequent causes of death of a 50yo US male
-malignant neoplasm
- accident
- heart disease
- chronic lower resp disease
- DM
- chronic liver disease
- CVA
Adults who smoke should be administered what additional vaccine?
PPSV23 (pneumococcal)
Smokers with no medical assistance quit at a rate of 2-3% per year. What 3 interventions that increase this rate?
1). Group setting
2). Oral meds
3). One-on-one counseling
4). Provide problem solving skills and relax techniques
5). Financial/material incentives
How do you calculate a patient's BMI?
Weight in kilos divided by (height in meters)^2
Which type of alcohol does the AHA recommend in order to achieve the known boost in HDL that alcohol provides?
NONE!
Name 4 MAJOR risk factors for CVD and stroke
- HTN
- High cholesterol
- DM
- Tobacco use
At what age does the CDC now recommend administration of the zoster vaccine?
-50
Bupropion can be prescribed to help with smoking cessation. What class of drug is bupropion? Propose a MOA.
Atypical antidepressant, norepi/dopamine reuptake inhibitor and nicotinic receptor antagonist.
List 3 guiding principles to effective weight loss counseling
-Reduce calories consumed, increased calories burned
-Drink water instead of soda
-Eat 5 servings of fruits and veggies
-Meet with a dietician
Other than an increase in HDL, name 2 other proposed benefits of alcohol
- Decreased clotting
- Decreased mortality due to cardiovascular disease
Give 2 reasons in support of and 2 reasons against screening for prostate cancer
For:
- Early detection (prolonged life)
- Reassurance
Anti:
- False positive
- Complications (ED, incontinence, death)
- Would've been asymp if left untreated
- Discomfort/pain
As opposed to other vaccines, why is the flu vaccine recommended annually?
What are the 3 Cs of addiction?
-Lack of Control
-Continued use despite adverse Consequences
Name 2 abnormalities you might see in the ECG of a patient with CAD
- ST segment depression or downsloping
-Convex ST segment elevation
-Q wave bigger than 25% of succeeding R and longer than .04 seconds
Fill in the blank for men and women with regards to the Single-Item Alcohol Screening Questionnaire: "How many times in the past year have you had X drinks in a day?"
Men = 5
Women = 4
Explain the difference between colonoscopy and fecal testing in terms of their invasiveness and the frequency with which they must be administered
Colonoscopy = every 10 years, more invasive
Fecal testing = every year, less invasive.
Name 2 conditions for which there is a live vaccine, and the populations to whom they should not be administered
- Zoster, OPV, MMR, Varicella
- Shouldn't give to immunocompromised, close contacts, or pregnant moms
At what pack/year history does USPSTF recommend lung cancer screening for males age 55-80?
30
How often should a patient looking to lose weight exercise?
20-40min daily
What are the 3 questions on the AUDIT-C?
-How many standard drinks do you have in a day?
-How often do you have 6 or more drinks on one occasion?