Preventative Health Final Review – Flashcards

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Chlamydia
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What is the most common STI in the US?
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20-24
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The most reported Chlamydia infections occur in what age group?
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Females taking oral contraceptives
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Risk factors for Chlamydia are all of the following EXCEPT
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Discharge
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The most common sign/symptom of Chlamydia is?
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Gonorrhea
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Which STI can lead to PID?
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Herpes
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Which of the following STI's cannot be treated with an antibiotic?
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When they clap the penis and a blockage comes out
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What is referred to as 'the clap' or 'the drip'?
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True
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T/F: CDC recommends that any sexually active females under 25 and over 25 at increased risk be checked for Chlamydia.
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Pertussis
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Pneumococcal disease can lead to all of the following EXCEPT
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Pregnancy, egg allergy, Gullian-Barr Syndrome
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Which of the following are CI for the influenza vaccine?
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Ture
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T/F: A provider may give a patient the shingles shot if they have had shingles before?
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Hepatitis B (need pneumonia, tetanus)
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Which shot is least likely needed for a woman over 60 years old?
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Every 10 years
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How often should the tetanus shot be given?
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Migraines
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According to the APT3, which medical condition is not a CHD/CAD medical equivalent?
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Colon Cancer
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All of the following are risk factors for CAD except?
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MI
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One can use the Framingham score to determine someone's ten-year risk for what?
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Saturated Fat
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TLC diet is used to decrease the risk of CHD what and what is the focus?
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No
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According to USPSTF do you screen a low risk individual with an EKG?
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>60 years
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What is exactly termed an excellent HDL level?
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140/90mmHG
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HTN Stage I is defined as a BP greater than?
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HTN
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Adoption of the DASH diet is to particularly treat what diagnosis?
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HTN
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What is known as the silent killer because there is usually no warning signs?
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Once a year
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According to JNC 7 Guidelines, 120-129/80-89, a person should be screened how often?
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Digoxin
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Pharmacotherapy for HTN includes all of the following except?
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HTN Crisis
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BP 180/120 is considered what?
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3 Hours
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How many hours do you have to respond to a CVA before damage occurs?
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African Americans
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What ethnicity is more likely to develop HTN?
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Non-cancerous
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If a patient complains of a tender, soft, mobile, brown breast mass is most likely to be?
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40 years
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According to the American Cancer Society, women w/o a family history of breast cancer should begin being screened at what age, with one every 1-2 years after?
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50 years
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Like above, but for USPSTF, women w/o history of cancer should begin at what age?
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Upper Outer
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Most breast cancers are found in what quadrant?
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CA-125
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What blood test is sensitive for detecting breast cancer?
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Ovarian
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Which cancer has the lowest survival rate for all female cancers?
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False
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T/F: USPSTF recommends screening all women over 50 for ovarian cancer?
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Epithelial
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What is the most common type of ovarian cancer?
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Breast tenderness around menstruation
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Which of the following is NOT a warning sign for cancer?
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50 years
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At what age should you being screening a Caucasian male for colorectal cancer who has no personal or family history of the disease?
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Ten years later
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If the patient has a (-) colonoscopy for polyps, when should they next be screened?
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Upper Endoscopy
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Evidence shows that the following 3 screening methods are good for colorectal cancer EXCEPT:
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Prostate (and colon)
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African Americans are more susceptible to what type of cancer?
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False
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T/F: Having a high PSA means you have prostate cancer?
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Adenocarcinoma
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Most prominent prostate and colon carcinoma is what?
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Increased Flatulence
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Which is NOT a symptom of colon cancer?
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Erectile Dysfunction
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Which is NOT a symptom of prostate cancer?
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50 years
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According to ACS, what age should men be screened for prostate cancer?
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Biopsy
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What diagnostic factor is most accurate for prostate cancer?
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Radon
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What is the second leading cause of lung cancer?
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Adenocarcinoma
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What is the most common type of lung cancer?
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Lung Cancer
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What is the leading cause of death in males and females?
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Low Dose Spiral CT Scan
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What is the best screening tool for lung cancer if they've had a history of smoking?
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33 Years
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What is the average age for a diagnosis of testicular cancer?
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Germ-cell
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What is the most common type of testicular cancer?
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Cryptorchidism
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What is one of the leading risk factors for developing testicular cancer?
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AFP & HCG
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In monitoring the response to therapy of testicular cancer, what is there a rapid fall in?
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All Of Above
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The following diagnostic tests can diagnose diabetes?
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65 Years
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At what age should a woman be screened for osteoporosis via DEXA regardless of risk factors?
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Caucasian
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Which of the following is a risk factor for osteoporosis?
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Stop all weight bearing exercises
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Treatment of osteoporosis is all of the following EXCEPT?
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All of the above (blonde, blue eyed, fair complexion)
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Risk factors for skin cancer include?
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Diameter
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What does the D stand for in ABCDE's of skin cancer?
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All of above (melanocytes etc.)
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Accumulation of mutations in DNA of which of the following cells leads to skin cancer?
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3 Years
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Cervical cancer screening starts at 21. How often are they checked with a pap smear after that?
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16 & 18
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An HPV vaccine protects against which subtypes of HPV?
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DES
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Which of the following was used to prevent miscarriages but increases risk for cervical cancer?
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Transformation
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Most cervical cancer begins in what location?
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Cervical; endometrial
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Oral contraceptives have shown to increase which cancer and decrease in which?
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Family History
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Which of the following is the most important to ask in determining the risk for cancer?
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HPV
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Infection with which STI can lead to cervical cancer?
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Squamous
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What's the most common type of cervical cancer?
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Endometrial
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Abnormal uterine bleeding is a sign you can be thinking of for which type of cancer?
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Mental Retardation
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All of the following are thought to be risks associated with smoking in pregnancy except?
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Smoking
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What is the leading cause of preventable disease?
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PA graduate school
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What is not a risk factor for alcoholism?
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1.5 oz
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How many ounces of 80 proof distilled alcohol is considered a drink?
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Chron's Disease
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Children exposed to second-hand smoke are at risk for all of the following EXCEPT:
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5 drinks
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How many drinks in one week define binge drinking?
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10 seconds
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How many seconds does it take for the initial inhalation of smoking to reach the brain?
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Kissing
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HIV can be contracted through all of the following except?
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Water
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Hepatitis A is most commonly spread through what?
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CD4 T Cells
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HIV weakens the immune system by destroying what?
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X-ray
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All of the following are follow up diagnostic HIV tests EXCEPT?
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Hep C
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60-70 percent of chronically infected patients of Hepatitis __ develop chronic liver disease?
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Greater than 5.5cm
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AAA needs to have what diameter?
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ABI
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What do you use to diagnose Peripheral Artery Disease?
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Regular Exercise
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Which of the following is NOT a risk factor for developing PAD?
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Smoking
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What seems to be the GREATEST risk factor for vascular disease?
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Speech
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What does the S stand for in the FAST for detecting stroke?
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Pigment
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What is not a P in PAD?
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Claudication
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A reversible pain in the muscle while walking defines what?
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Methadone
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Smoking cessation is treated by all of the following except?
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Ischemic
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What stroke is seen most often?
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Metformin
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What is the first line treatment for DMT2
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Do you smoke?
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The most pertinent questions to ask for PVD is what?
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1.5 oz
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How many ounces of 80 proof distilled alcohol is considered a drink?
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Increased Flatulence
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Which is NOT a symptom of colon cancer?
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50 years
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Like above, but for USPSTF, women w/o history of cancer should begin at what age?
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Upper outer
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Most breast cancers are found in what quadrant?
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Polyuria, polydypsia, polyphagia
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What are the three main symptoms of DM?
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126
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Fasting blood glucose over __ is indicative of DM?
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Glucose
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Elevated levels of what are responsible for damaging the body?
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Age
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What is a non-modifiable risk factor in DM?
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130/85
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USPSTF for DM says blood glucose screening in adults with a sustained BP... at what BP every three years?
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True
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T/F: ADA recommends starting screening all for diabetes at 45 for everyone, especially obese/overweight.
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Obesity > 30; Overweight 25-29.9; Normal 18.5-24.9; Underweight <15.5
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BMI measurements
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35 inches
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Waist circumference of a non-pregnant female for DM screening:
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40 inches
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Waist circumference of a male for DM?
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Endometrial
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What cancer has highest percentage of cases linked to obesity?
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Plunge Test
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What is the gold standard for checking body fat?
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BMI
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What is not a good screening for body fat?
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Grehlin
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What hormone causes satiety and fullness?
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2.5
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DEXA Scan number for Osteoporosis?
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5 drinks in a 2 hour period
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What amount of alcohol defines binge drinking?
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