Repro 1/2 HC and ethics USMLE 2
Terms
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- the last menstrual period is dated from when?
- First day of last normal period
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Definition:
Postmenopausal bleeding - bleeding beginning 6 months after cessation of menses
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what does each number mean in:
G[1]P[2][3][4][5] -
Florida Power And Light:
1: Pregnancies
2: Full-term pregnancies
3: Preterm pregnancies
4: Abortions
5: Living children - Peau d'orange change in the breast is assoc w/ what?
- Edema of the lymphatic glands
- Which speculum is often most suitable for exam of the nulliparous patient?
- Pederson
- Which speculum is often most suitable for exam of the multiparous patient?
- Graves
- which uterine configuration is most difficult to assess for size, shape, configuration and mobility?
- Retroverted, retroflexed
- Pap smears using slide technology should be fixed no more then how many seconds after preparation?
- 10 sec
- when should a rectovaginal exam be performed?
- at initial patient visit and all annual visits
- the TSH screening test for thyroid dz should be performed at what interval?
- every 3 - 5 years after age 65
- the Pap smear for cervical dysplasia should be performed at what interval?
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every year with onset of sexual activity or at age 21;
every 2 - 3 years after age 30 if 3 consecutive tests are negative - a cholesterol/lipid profile should be performed at what interval?
- every 5 years from age 19, then 3 - 4 years at age 65
- a mammmography to detect breast cancer should be performed at what interval?
- every other year from age 40, then every year after age 50
- a sigmoidoscopy to detect bowel cancer should be performed at what interval?
- every 3 - 5 years after age 40
- what is the appropriate interval for the influenza vaccine?
- every 10 years b/t ages 19-64 when at risk; then yearly after age 65
- what is the appropriate interval for the pneumococcal vaccine?
- every 10 years from age 19-64 when at risk
- what is a significant cause of morbidity for women who are 19-39?
- acute coronary conditions
- what is a significant cause of morbidity for women who are 40-64?
- upper respiratory conditions
- what is a significant cause of morbidity for women who are over age of 65?
- accidental injury
- what is the most significant cause of mortality for women b/t 35-54 years of age?
- cancer
- what is the most significant cause of mortality for women b/t 55-74 years of age?
- CVA
- why is the head of the exam table elevated 30 degrees?
- to observe the patient's responses
- which breast cancer has Mobile cysts?
- Fibroadneoma
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Definition:
patient should be given what is "due" - Justice
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Definition:
respect for the patient's right of self-determination - Autonomy
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Definition:
duty not to inflict harm on patient - Nonmalificence
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Definition:
duty to promote the good of the patient - Beneficence
- 32 you patient delivered at 25 weeks, 3 days after premature rupture of membranes. She wants no attempts at recussitation. At delivery there are rare gasping, breathing movements. Who has the clearest primary decision for th outcome?
- mother
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a 62-yo woman has been dx w/ stage III ovarian cancer and refuses chemo. She wants to "go home and die"
what is the next step? - Assess the patient's comprehension and look for evidence of depression
- a 90-yo woman is found to have a 20-cm pelvic mass. Her CA-125 is 90. Your recommendation for care should be based on what principle?
- beneficence-nonmaleficence
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a 28-yo woman w/ metastatic cancer wants to try a bone marrow transplant supported treatment. Her insurance company refuses.
what ethical principle is involved? - Justice
- what ethical principle best relates to issue of medical indications?
- Beneficence
- what ethical principle best relates to the issue of quality of life?
- Nonmaleficience