Cancer Screening Flashcards
1) What are the USPSTF Lung Cancer Screening Guidelines?
2) When do we dc screening?
3) What Grade recommendation?
1) ANNUAL screening with LDCT for adults 50-80 with 20 pack year smoking history and currently smoke or who have quit within the last 15 years.
2) DC when pt has not smoked for 15 years or illness happens that limits life expectancy vs willingness to undergo lung surgery.
3) Grade b
1) What are the recommendations regarding risk reducing breast cancer medications?
2) What grade is this recommendation?
3) How about women NOT at increased risk of breast cancer?
1) Women > 35 yo with increased risk of breast cancer and with low risk of side effects should be offered risk reducing medications (tamoxifen, raloxifine, aromatase inhibitor) –use breast cancer risk assessment tool
2) This is a Grade B recommendation
3) Grade D recommendation to NOT give this medication to women WITHOUT increased breast cancer risk
1-3) What are the cervical cancer screening guidelines based upon age? (3 answers)
4) What grade are these recommendations?
1) Screen with cytology alone 21-29 yoa q 3 years
2) Screen with cytology alone 30-65 yoa q 3 years, OR
3) Screen with hrHPV alone OR HPV + cytology (co-testing) q 5 years
4) These are grade A recommendations
1) Who should be screened for prostate cancer?
2) How should they be screened?
3) What are the most important risk factors contributing to prostate cancer? (3)
4) Whom should NOT be screened for prostate cancer
1) Men 55-69 yo with risk factors.
2) Serial PSA
3) Older age, AA race, family hx
4) Men >/= 70 yo
What are the recommendations regarding skin cancer prevention/ counseling?
Counsel young adults, adolescents and children/ parents of young children 6 most-24 yo with fair skin about decreasing UV exposure and using SPF
**Benefit of counseling adults > 24 yo is small
1) What are the recommendations for colorectal cancer screening?
1) Patients age 50-75 should have regular colorectal cancer screening; decision to screen in patients 76+ yo should be individualized based upon overall health and screening history.
What are the recommendations regarding ASA for primary prevention ov CVD and colorectal cancer?
Give daily baby ASA to adults 50-59 yo with 10%+ ASCVD risk, without risk of bleeding, with life expectancy of at least 10 years, and willing to take the ASA daily for 10 years
1) What is the highest level recommendation for breast cancer screening
2) How about younger women, should they be screened?
1) B–for women 50-74 yo, biennial screening is recommended
2) C–individualized decisions based upon pt risk and benefit for screening should be made when deciding whether to screen women 40-49. Consider especially for women with parent, sibling or child diagnosed with breast cancer.
