LEIK FNP System Review Exam With 100% Correct Answers
Chapter 4 (Preventive Health) - Correct AnswerSensitivity - Correct Answer-(SNOUT) Negative results rules out the disease. Sensitivity
test are good at identifying the positive markers of disease. So good that it is more
prone to report false positives. So a negative result is more definitive
Specificity - Correct Answer-(SPIN) Positive results rules in the disease. Specificity tests
are good at identifying the negative marker of a disease. So good that is more prone to
report false negatives. So a positive result is more definitive.
Primary Prevention - Correct Answer-Prevent the disease in its entirety. Examples
include healthy diet, exercise, safety (helmets/seatbelts), immunizations, and job safety
Secondary Prevention - Correct Answer-Early detection of a disease. Examples include
screening tests
Tertiary Prevention - Correct Answer-Rehabilitation of a disease. Examples include
support groups, education for pts with pre-existing disease, drug side effect safety,
medical equipment safety, any type of rehab like PT or OT
Breast Cancer Screening Guidelines (USPSTF) - Correct Answer-Onset = 50yo.
Biannual. Stop at age 74yo. No SBE.
Breast Cancer Screening Guidelines (ACA) - Correct Answer-Onset = 40yo. Annual. No
stop age.
Cervical cancer screening guidelines - Correct Answer-Onset=21yo
(immunocompromised individuals start at onset of sexual activity). Every 3 years Pap w/
no HPV test until 30yo. Pap and HPV test after 30 yo and can begin screening every 5
years. Stop at age 65yo. Complete hysterectomy means no Pap unless pt has history of
cervical cancer or high grade lesion.
Colorectal cancer - Correct Answer-Onset 50yo. 1) colonoscopy q 10 years if wnl, 2)
sigmoidoscopy q 5 years if wnl, 3) annual FOBT with 3 stool samples. Stop age 75 yo.
Prostate cancer - Correct Answer-USPSTF does not recommend screening with PSA
but it based on individual pt.
Lipid screening - Correct Answer-Onset 18-35/45yo screen if at increased risk of heart
disease. Males >35yo and Females >45yo
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