AAFP Recommendations Flashcards
Screening for Abdominal Aortic Aneurysm in Men
One-time screening for AAA by ultrasonography in men ages 65-75 who have ever smoked
Screening for Abdominal Aortic Aneurysm in Women
Insufficient evidence in women who have smoked
NOT recommended in women who have never smoked
Screening for Abuse, Intimate Partner Violence of Elderly & Vulnerable Adults
- Screen women of childbearing age for intimate partner vilence & provide or refer women who screen positive to intervention services
- Insufficient evidence in screening elderly for abuse and neglect
Screening for Alcohol Misuse in Adults
Screen adults aged 18 & older for alcohol misuse and provide persons engaged in risky/hazardous drinking with brief behavioral counseling interventions
Screening for Alcohol Misuse in Adolescents
Avoidance of alcohol products in adolescents aged 12-17 is desirable
Aspirin Use to Prevent Cardiovascular Disease and Colorectal Cancer
Recommended in adults aged 50-59 who have 10% or greater 10-year CVD risk and are not at increased risk for bleeding, have life expectancy of at least 10 years, and are willing to take low-dose aspirin for at least 10 years
Screening for Asymptomatic Bacteriuria in Pregnant Women
Recommend screening with urine culture for pregnant women at 12-16 weeks gestation or at first prenatal visit, if later
Behavioral Counseling, Healthful Diet, and Physical Activity for Cardiovascular Disease
Recommend offering or referring adults who are overweight or obese and have additional cardiovascular disease risk factors
Behavioral Counseling to Prevent Sexually Transmitted Infections
Recommend for all sexually active adolescents and adults at increased risk
Breast Cancer Screening
Recommend bienniel screening mammography for women aged 50-74
Self Breast Exam
Recommend AGAINST clinicians teaching women BSE
Prevention Medication for Breast Cancer
Recommend that clinicians engage in shared, informed decision making with women who are at increased risk for breast cancer about medications to reduce their risk
Breast Cancer BRCA Mutation Testing
Recommend that PCPs screen women who have family members with breast, ovarian, tubal, or peritoneal cancer
Primary Care Breastfeeding Interventions
Recommend providing interventions during pregnancy & after birth to support breastfeeding
Cervical Cancer Screening
Recommend screening women aged 21-65 with Pap smear every 3 years or, in women aged 30-65 with Pap smear + HPV testing every 5 years
STD Screening in Women
Recommend screening for chlamydia & gonorrhea in sexually active women age 24 and younger and in older women who are at increased risk
Colorectal Cancer Screening
Recommend starting at age 50 and continuing until age 75 with fecal immunochemical test, flexible sigmoidoscopy, or colonoscopy
Genomic testing for Colorectal Cancer
Recommend testing for Lynch syndrome in patients newly diagnosed with colorectal cancer
Congenital Hypothyroidism
Recommend screening for congenital hypothyroidism in newborns
Fluoride Supplementation
- Recommend fluoride supplementation starting at age 6 months for children whose water supply is deficient in fluoride
- Recommend application of fluoride varnish to primary teeth of all infants and children starting at age of primary tooth eruption
Depression Screening in Adults
Recommend screening in general adult population, including pregnant & postpartum women
Depression Screening in Adolescents
Recommend screening for major depressive disorder in adolescents 12-18 years of age
Gestational Diabetes Screening
Recommend in asymptomatic pregnant women after 24 weeks of gestation
Blood Glucose Screening in Adults
Recommend as part of cardiovascular risk assessment in adults aged 40 to 70 who are overweight and obese
Fall Prevention in Older Adults
Recommend exercise or physical therapy & vitamin D supplementation in community-dwelling adults aged 65 or older who are at increased risk for falls
Topical Medication for Gonococcal Infection in Neonates
Recommend prophylactic ocular topical medication for all newborns against gonococcal ophthalmia neonatorum
Sensorineural Hearing Loss Screening
Recommend screening for hearing loss in all newborn infants
Newborn Hemoglobinopathies Screening
Recommend ordering screening tests for PKU, hemoglobinopathies, and thyroid function abnormalities in neonates
HBV Screening in Pregnant Women
Recommend screening at first prenatal visit
HBV Screening in Nonpregnant Adolescents & Adults
Recommend screening in persons at high risk
HCV Screening in Adults
- Recommend screening for HCV in persons at high risk
- Recommend one-time screening to adults born between 1945 and 1965
HIV Screening in Adults & Adolescents
Recommend screening adolescents & adults ages 18-65 for HIV
HIV Screening in Pregnant Women
Recommend screening all pregnant women, including those who present in labor whose HIV status is unknown
Hypertension Screening
Recommend screening for high blood pressure in adults aged 18 and older
Lipid Disorder Screening in Adults
Recommend screening:
- men aged 35 and older
- men aged 20-35 if they are at increased risk of coronary heart disease
- women aged 45 and older if they are increased risk for coronary artery disease
- women aged 20-45 if they are at increased risk for coronary artery disease
Folic Acid Supplementation
Recommend that all women planning or capable of pregnancy take a daily supplement containing 400-800 μg of folic acid
Obesity Screening
Recommend screening:
- all adults
- children aged 6 and older
Osteoporosis Screening
Recommend screening:
- women aged 65 and older
- younger women whose fracture risk is equal to or greater than that of a 65-year old white woman with no additional risk factors (9.3% 10-year risk)
Low-Dose Aspirin Use in Preeclampsia
Recommend use of low-dose aspirin as preventive medication after 12 weeks gestation in women who are at high risk for preeclampsia
Rh (D) Incompatibility Screening in Pregnant Women
Recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care
Second Hand Smoke Screening
Recommend counseling smoking patients with children in the house about harms
STI Counseling
Recommend for:
- all sexually active adolescents
- adults at increased risk
Sickle Cell Disease Screening
Recommend for all newborns
Skin Cancer Counseling
Recommend counseling children, adolescents, and young adults ages 10-24
Syphilis Screening
Recommend for:
- persons at increased risk for infection
- all pregnant women
Tobacco Use Screening
Recommend screening:
- all adults about tobacco use & advising them to stop use
- all pregnant women
TB Screening in Asymptomatic Adults
Recommend screening in populations at increased risk
Vision Screening in Chidlren
Recommend at least once between ages of 3 and 5 to detect presence of ambylopia or its risk factors
