Self-Study

Question 1

What Areas Should you Scan for Skin Cancer?

Answer 1

• Scalp
• Face
• Neck
• Back
• Buttocks
• Back of Legs
• Back of Knees
• Between Toes

Question 2

What Age is Skin Cancer Most Common?

Answer 2

15 - 34 Years

Question 3

What is the Survival Rate of Melanoma if it is Detected Early?

Answer 3

92%

Question 4

What is the Survival Rate of Melanoma if it is Metastatic?

Answer 4

5%

Question 5

What are the ABC’s of Early Melanoma Detection?

Answer 5

Asymmetry
* 1/2 Not Like the Other
Border
* Blurry Edges
Colour
* 1+ Shade
Diameter
* > 6mm
Evolution
* Change Over Time

Question 6

Discriminating Features: Melanoma

Answer 6

> 50 Years
Male

First Degree Relative (8 - 12x Risk)
Multiple Nevi/Moles
History of Previous Melanoma

Fair Complexion
Red or Blonde Hair
Green/Blue/Grey Eyes

Question 7

What is a Mood Disorder?

Answer 7

Lowering or Elevation of Mood
* Includes Depressive or Manic Episodes

Question 8

What is an Anxiety Disorder?

Answer 8

Feelings of Apprehension, Worry, and Fear

Question 9

What are the 5 Categories of the Substance Use Spectrum?

Answer 9

Non-Use
* Abstinence

Beneficial Use
* Positive Health, Social, or Spiritual Effects

Lower-Risk Use
* Minimal Impact to Person, Family, Friends, Others

Higher-Risk Use
* Harmful and Negative Impact to Person, Family, Friends, Others

Addiction/Substance Use Disorder
* Treatable Medical Conditions, Affects Brain, Compulsive and Continuous Use Despite Negative Effects

Question 10

What Population is Major Depressive Disorder Most Prevalent in?

Answer 10

Female > Male

15 - 24 Years

Question 11

What Population is Substance Abuse Most Prevalent in?

Answer 11

Male > Female

Factors:
* Social
* Gender
* Economics

Question 12

Risk Factors: Depression

Answer 12

Previous Episode of Depression
Family History of Depression
History of Substance Abuse

Suffering w/ Other Chronic Health Conditions
Recent Traumatic Experience
Childhood Traumatic Experience

Post-Partum Mother’s
Indigenous
LGBTQIA2S+

Question 13

Discriminating Features: Depression

Answer 13

2 - 3 - 4, Pain - Drive - Breakdown

Low Pain Tolerance
Generalized Pain

Low Motivation
Low Energy
Fatigue

Self-Management Difficulties
Overwhelmed
Anger & Frustration
Poor Adherence

Question 14

What is the WHO CIDI Criteria for Depression?

Answer 14

2 Weeks SAD CPS

2 Weeks
* 2+ Weeks w/ Persistent Depressed Mood or Loss of Interest in Normal Activities

SAD
* Sleep Changes
* Appetite Changes
* Decreased Energy

CPS
* Concentration Impaired
* Pessimistic (Hopelessness)
* Suicidal Thoughts

Question 15

How Should a Depression Screening be Handled?

Answer 15

Private Setting
Sensitive and Conversational Tone
Patient has Time and Space to Express Themselves

Question 16

What is the WHO CIDI Criteria for Substance Abuse?

Answer 16

RATS = Abuse

Recurrent Use with 1+
* Recurrent Problems
* Abandoned Duties
* Too Risky
* Still Using

• Recurrent Drug/Alcohol Related Problems
• Failure to Fulfill Major Roles
• Use in Physically Hazardous Situations
• Continued Use Despite Social or Interpersonal Problems

Question 17

What is the WHO CIDI Criteria for Substance Dependence?

Answer 17

TWITTER = Dependence

3+ Within 12 Months:
* Tolerance Increased
* Withdrawal
* Increased Use
* Trying to Quit, Fails
* Time Wasted
* Everything (Activities) Reduced
* Regardless of Problems, Continued Use

Question 18

What Population is at Highest risk for Suicide?

Answer 18

15 - 34 Years

Male (40 - 64 yrs)

Indigenous

LGBTQ2S+

Question 19

What is the REACH Acronym for Suicide Prevention?

Answer 19

Recognize
* Warning Signs & Risk Factors

Engage
* Conversation w/ Empathy

Ask
* Suicidal Thoughts or Feelings?

Connect
* Supports & Resources

Heal
* Take Care of Our Own Mental Health

Question 20

Criteria for Referring for Suicide WITHOUT Consent

Answer 20

1. PT perceives there is clear risk of harm to pt or any other clearly identifiable individual
2. Danger poses risk of serious bodily harm or death
3. Danger is imminent