A & B Recommendations Flashcards
When should you screen men for AAA who have ever smoked? What constitutes repair?
Age 65 to 75; Repair >5.5cm or expansion >0.5cm over 6 months, 1cm in a year, symptomatic (B)
Age for screening anxiety in adults (USPSTF)
Adults 64 or younger including pregnant and postpartum (B)
Age for screening anxiety in children and adolescents
8-18 years of age (B)
Aspirin use guideline to prevent preeclampsia (USPSTF)
Low-dose aspirin (81mg/day) after 12 weeks gestation in high risk patients (B)
Guidelines for asymptomatic bacteriuria in pregnancy (USPSTF)
Screen asymptomatic bacteriuria using urine culture in pregnant persons (B)
Work up on women with PMH or FH of breast, ovarian, tubal, or peritoneal cancer or ancestry associated BRCA1/2 (USPSTF)
PCP risk assessment tool for women with risk factors-> genetic counselling with + risk assessment-> if indicated, genetic testing (B)
Medication use for risk reduction in women at increased risk for breast cancer 35yrs or older (USPSTF)
In women with low risk for adverse medication effects, prescribe meds such as tamoxifen, raloxifene, or aromatase inhibitors (B)
Breast cancer screening in women at what age, how often?
40-74yrs Q2yrs (B)
Primary care interventions in breastfeeding (USPSTF)
Recommended provided intervention during pregnancy and after birth to support breastfeeding
Who should receive the HPV vaccine? (USPSTF)
Both men and women age 11-26
Guideline for cervical cancer screening (USPSTF)
Women 21-29 every 3 years w/cervical cytology alone. Women 30-65 every 3 years with cytology + every 5 years HPV testing or co-test every 5 years (A)
Chlamydia & Gonorrhea screening (USPSTF)
Recommended screening in all sexually active women/pregnant women 24 yrs or younger and women 25 yrs or older at increased risk for infection
Colorectal cancer screening in pt w/ no risk factors/FH
Every 10yrs beginning at 45yrs old
Colorectal cancer screening in pt w/ CRC in 1st degree relative diagnosed <60
Screening starting at 40yrs old or ten years younger than earlier family diagnosis, whichever comes first (ex. Father dx at 45, screening starts at 35yrs) ; screening every 5yrs afterward
Screening in pt with Hx of CRC
Test 1 yr later, then 3 yrs later, then every 5yrs + council relatives
Screening for colorectal cancer If strong family history such as Lynch syndrome
Screening beginning at 20-25yrs old
Depression and suicide risk in adults (USPSTF)
Screen at >65yrs including pregnant and postpartum (B)
Fall prevention in community older adults (USPSTF)
Exercise intervention to prevent falls for adults >65yrs (B)
Depression and suicide risk in adolescent (USPSTF)
Screening for adolescents 12-18yrs (B)
Skin cancer prevention screening
Counselling about minimizing UV exposure for persons 6 months to 24yrs with fair skin (B)
Recommendation for statin use for CVD prevention (USPSTF)
Adults 40 to 75 w/ 1 or more CVD RF (i.e dyslipidemia, diabetes, HTN, or smoking) and estimated 10yr risk of cardiovascular event of 10% or more (B) *Hx of stroke, stable angina, LDL >190 in person >40 need statin
Syphillis screening recommendation (USPSTF)
Screening in at-risk or any pregnant women for syphilis infection (A)
Tobacco smoking cessation in adults recommendation
Ask all adults including pregnant women about tobacco use, advise cessation, and provide behavioural interventions. FDA approved pharmacotherapy in non-pregnant (A)
Tobacco use in children/adolescents (USPSTF)
Provide interventions including education, counselling, to prevent initiation of smoking (B)
Unhealthy alcohol use in adolescents/adults (USPSTF)
Screen for unhealthy use in adults 18yrs or older, including pregnant, providing behavioural counselling interventions for those with hazardous drinking (B)
Osteoporosis screening
Bone measurement testing to prevent fractures in women >65yrs (B)
Perinatal depression screening
Counselling for pregnant and postpartum women at increased risk of perinatal depression (B)
Prediabetes/DM2 screening (USPSTF)
Screening for adults 35-70 with obesity, HTN, or hyperlipidemia. Preventative intervention for prediabetics (B)
Prevention of HIV (USPSTF)
Preexposure prophylaxis with antiretrovirals to persons at increased risk (A)
Dental carie prevention in children younger than 5 (USPSTF)
Application of fluoride varnish to primary teeth of all infants/children at age of primary tooth production. Oral fluoride supplementation starting at 6 months in children with fluoride-deficient water supply. (B)
Rh (D) incompatibility screening (USPSTF)
Rh (D) blood typing and antibody testing for all pregnant women during first pregnancy-related care (A)
Rh (D) incompatibility screening in unsensitized rh negative pregnant women
Repeated antibody testing at 24-28wks unless biological father is known Rh (D) negative (B)
STI counselling (USPSTF)
Behavioural counselling for all sexually active adolescents and at-risk adults for STIs (B)
Folic Acid for NTD prevention
All persons planning to become pregnant take a daily folic acid supplement 0.4-0.8mg (400 to 800mcg) (A)
Gestational diabetes screening
Screening in asymptomatic pregnant persons at 24-28wks gestation (B)
Healthy diet and Physical Activity (USPSTF)
Offer or refer adults with CVD RFs to behavioural counselling interventions to promote healthy diet and physical activity (B)
Healthy weight + weight gain in pregnancy (USPSTF)
Offer pregnant persons effective behavioural counselling interventions to promote healthy weight gain and prevent excess gestational weight gain (B)
HepB screening in adolescent and adults
Screen for HepB in adolescent and adults with increased risk (B)
HepB screening in pregnancy
HepB screening at first prenatal visit (A)
HepC screening in adolescent and adult (USPSTF)
Screen for HepC in adults aged 18-79 (B)
HIV Screening (USPSTF)
Screening for infection in 15-65yrs. Anyone younger or older than this with increased risk should be screened. (A)
HIV screening in pregnancy (USPSTF)
Screen in all pregnant women, including those present in labor or at delivery with unknown HIV status (A)
HTN treatment in blacks vs non-blacks
Black: CCB, Thiazide; Non-black: ACE/ARB, CCB, Thiazide
Hypertension Screening (USPSTF)
Screen adults 18+ with office BP + have patient obtain BP outside of clinical setting for diagnostic confirmation before starting treatment (A) *Screen BP Q3-5yrs or Annually if 40+ w/ RFs
Hypertensive disorder screening in pregnancy (USPSTF)
Recommended screening for HTN disorders in pregnant persons with BP measurements throughout pregnancy (B)
Intimate partner violence + elder abuse (USPSTF)
Provide or refer persons for support services (B)
Latent TB screening (USPSTF)
Screen at-risk populations for LTBI (B)
Lung cancer screening
Annual screening with low-dose CT (LDCT) in adults 50-80 who have 20 pack-year history and either currently smoke or quit within past 15 years. Discontinue screening when smoking cessation >15yrs or development of illness with significantly reduced life expectancy (B)
Obesity screening in children and adolescents
Screen in children/adolescents >6yrs old and refer to behavioural interventions for improvement in weight status (B)
Ocular prophylaxis in newborn
Prophylactic ocular topical medication for all newborns to prevent gonococcal opthalmia neonatorum (A) DOC: 0.5% topical erythromycin
Osteoporosis screening (USPSTF)
Bone measurement testing to prevent osteoporotic fractures in women <65yrs at increased risk (B) DOC: bisphosphanates
Unhealthy drug use screening
Unhealthy drug use inquiry in adults 18+ (B)
Vision screening
Screening for amblyopia or its risk factors at least once in all children 3-5yrs old (B)
Weight loss related morbidity and mortality (USPSTF)
Offer or refer patients with BMI 30+ to intensive, multicomponent behavioural interventions (B)
Autism screening age
18 months and 2 years
When should rotavirus vaccine be given
2-8 months
