Clinical Medicine I Unit II Exam Review

Clinical Medicine I Unit II Exam Review - 1 Clinical...

Info iconThis preview shows pages 1–3. Sign up to view the full content.

View Full Document Right Arrow Icon
1 Clinical Medicine I Unit II Exam Review Clinical Medicine Unit 4 Self-Study: Behavioral Risk Factors and Clinical Preventive Medicine 1. RISE a. Risk factor reduction, immunizations, screening, education 2. Healthy lifestyle characteristics a. No tobacco b. Regular physical activity c. Healthy body weight d. 3. Barriers to practicing prevention a. b. c. Negative clinician attitudes about behavior change d. Negative patient attitudes about their ability to change e. Lack of an organized system to facilitate preventive care services 4. USPSTF criteria for utility of a screening test a. Condition has effect on quality and quantity of life. b. Treatment available c. Presence of asymptomatic period d. Treatment in asymptomatic period superior e. Test is acceptable and reasonable cost 5. USPSTF criteria for effectiveness of early detection a. Accuracy of test: sensitivity, specificity, reliablilty b. Effectiveness of early detection: lead time and length time basis, potential adverse affects, benefit to population 6. Recommendations for A, B, C, D, I ratings a. A – good evidence, recommend b. B – fair evidence, recommend c. C – fair evidence, but benefit/harm close to 1, no recommendation d. D – harm outweighs benefits, not recommended e. I – insufficient evidence f. Recommend based on strength of evidence and benefit/harm. Burden of suffering under condition and the intervention characteristics associated with the condition. Goal is to increase quality and years of life. And eliminate health disparities. Small Group 4.1: Cardiovascular and Other Risk Assessment 1. Risk Factors for Coronary Artery Disease (CAD) a. Modifiable Hypertension, Diabetes Mellitus, Hyperlipidemia, Tobacco, Obesity, and Sedentary Lifestyle b. Non-modifiable Age, Sex, Family History 2. Approaches to the Differential Diagnosis of Chest Pain a. Pathophysiology Approach: INVICTOE i. I - inflammatory ii. N - neoplastic iii. V - vascular iv. I - infections v. C - congenital vi. T - traumatic vii. O - other viii. E – endocrine b. Organ System Approach (Superficial to deep)
Background image of page 1

Info iconThis preview has intentionally blurred sections. Sign up to view the full version.

View Full DocumentRight Arrow Icon
2 i. Skin – Zoster (shingles), contusion/trauma ii. Musculoskeletal – Costochrondritis, muscle strain, rib fracture iii. Respiratory – Pleurisy, Pneumonia, asthma/COPD, pulmonary embolis, pneumothorax iv. Cardiovascular – pericarditis, myocardial infraction, angina, aortic dissection, v. Gastrointestinal – reflux esophagitis, gastritis, peptic ulcer disease vi. Psychosocial – panic attack, anxiety disorder 3. Determining the Probability of Disease a. Probability of Disease – the likelihood that a patient has a particular disease i. Depends on the population from which the patient comes, the patient’s individual risk b. Pre-test Probability of Disease – the estimated probability of disease before ordering a test
Background image of page 2
Image of page 3
This is the end of the preview. Sign up to access the rest of the document.

This note was uploaded on 04/28/2008 for the course CLIN MED 1 taught by Professor Stelliniandroe during the Spring '08 term at Wayne State University.

Page1 / 12

Clinical Medicine I Unit II Exam Review - 1 Clinical...

This preview shows document pages 1 - 3. Sign up to view the full document.

View Full Document Right Arrow Icon
Ask a homework question - tutors are online