Exam 1: Screening Guidelines

Question 1

major risk factors for colorectal cancer

Answer 1

age (over 50), family history, African American race

Question 2

Recommendation for NSAID or ASA use to reduce risk of colon cancer

Answer 2

Do not use

Question 3

what does a rating of D mean

Answer 3

not recommended

Question 4

Recommendation for BRCA mutation screening

Answer 4

Screen women whose family history appears to put them at risk for a BRCA mutation. Refer to genetic counseling and then test for mutation if recommended

Question 5

Factors suggesting a possible BRCA mutation

Answer 5

Breast cancer <50 y/o, bilat breast cancer, family hx of breast and ovarian cancer, family hx of male breast cancer, multiple family members, Ashkenazi Jewish ancestry

Question 6

Recommendations for breast cancer screening for women age 40-49

Answer 6

Grade C for biennial screenings, individualize to patient

Question 7

Recommendations for breast cancer screening for women age 50-74

Answer 7

Grade B, offer biennial screening

Question 8

Recommendations for breast cancer screening for women age 75 and up

Answer 8

Grade I, no recommendation

Question 9

Cervical cancer screening women ages 21-65

Answer 9

Grade A, screen with pap smear every 3 years

Question 10

Cervical cancer screening ages 30-65

Answer 10

Grade A, screen with pap smear every 3 years or pap smear with HPV test every 5 years

Question 11

Cervical cancer screening under 21

Answer 11

Grade D, not recommended

Question 12

Cervical cancer screening over 65

Answer 12

Grade D, not recommended if not high risk and adequate screening in past

Question 13

Cervical cancer screening post hysterectomy with removal of cervix and no prior history

Answer 13

Grade D, not recommended

Question 14

Cervical cancer screening under 30

Answer 14

Do not screen for HPV

Question 15

under what circumstances may pap smear with HPV be conducted every 5 years

Answer 15

women age 30-65

Question 16

at what age should pap smears start

Answer 16

21

Question 17

what is associated with nearly all cases of cervical cancer

Answer 17

HPV infection

Question 18

Colorectal cancer screening age 50-75

Answer 18

annual screening with fecal occult blood testing, sigmoidoscopy q 5 with FOBT q 3 years, colonoscopy q 10 years

Question 19

Colorectal cancer screening age 76-85

Answer 19

Grade C do not automatically screen

Question 20

Colorectal cancer screening over 85

Answer 20

Grade D do not screen

Question 21

Colorectal cancer screening using CT scan or fecal DNA

Answer 21

Grade I insufficient evidence

Question 22

Screening for lung cancer age range

Answer 22

55-80

Question 23

Screening for colorectal cancer age range

Answer 23

50-75 (or 85)

Question 24

How much smoking before screening becomes necessary

Answer 24

30 pack year

Question 25

Quitting smoking within last ___ years warrants screening

Answer 25

15

Question 26

Screening for lung cancer recommendation

Answer 26

Screen annually with low-dose CT scan until they have been smoke-free for 15 years

Question 27

Routine screening for ovarian cancer

Answer 27

Grade D do not screen

Question 28

Routine Prostate cancer screening recommendations

Answer 28

Grade D do not screen with PSA

Question 29

Routine skin cancer screening

Answer 29

Grade I insufficient evidence

Question 30

What does a grade A recommendation mean

Answer 30

high certainty of net benefit, substantial magnitude of net benefit

Question 31

What does grade B recommendation mean

Answer 31

moderate certainty of net benefit and substantial magnitude of net benefit OR moderate both certainty and magnitude OR moderate magnitude and substantial certainty

Question 32

what does grade C recommendation mean

Answer 32

small magnitude and high certainty OR small magnitude and moderate certainty

Question 33

what does grade D recommendation mean

Answer 33

zero/negative magnitude and high or moderate certainty

Question 34

what does grade I recommendation mean

Answer 34

low certainty and any magnitude