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Comprehensive Review For Boards > Health Screenings in Primary Care > Flashcards

Health Screenings in Primary Care Flashcards

1
Q

What is the USPSTF recommendation for AAA (abdominal aortic aneurysm) ?

A

One-time screening utilizing ultrasonography for men ages 65 to 75 who have ever smoked.

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2
Q

What is the USPSTF recommendation for the use of ASA (aspirin) in pregnant women? at how many weeks?

A

Recommends the use of low dose 81 mg ASA to pregnant women at high risk for preeclampsia starting after 12 weeks gestation.

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3
Q

The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in what type of patients?

A

Pregnant patients

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4
Q

What is the USPSTF recommendation for breast cancer medication use to reduce the risk?

A

For women at increased risk for breast cancer aged 35 years or older recommended clinicians offer to prescribe risk-reducing medications such as tamoxifen, raloxifene, and aromatase inhibitors.

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5
Q

What is the USPSTF recommendation screening for breast cancer screening? what’s the age range?

A

The USPSTF recommends biennial screening (every 2 yrs) mammography for women aged 50 to 74 years.

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6
Q

what is the USPSTF recommendation for screening for cervical cancer? what ages?

A

The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29. For women ages 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk HPV testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting).

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7
Q

what is the screening recommendation for a 25 year old female?

A

screen every 3 years with cytology alone.

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8
Q

what is the screening recommendation for a 33 year old female?

A

screen every 3 years with cytology alone, and every 5 years with HPV testing or every 5 years with cotesting

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9
Q

what two STDS should be screened for in sexually active females? at what age?

A

Women 24 years and younger, screen for chlamydia and gonorrhea.

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10
Q

what is the USPSTF recommendation for colon cancer screening? what grade?

A

USPSTF recommends screening adults aged 45 to 49. Grade B

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11
Q

what grade of recommendation for colon cancer screening in adults aged 50 to 75?

A

Grade A

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12
Q

At what age should pediatricians screen for major depression disorder?

A

Start at age 12 to 18.

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13
Q

what does the USPSTF recommend to prevent falls in community dwelling adults 65 years or older who are at increased risk for falls?

A

exercise interventions

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14
Q

What is the recommendation for women of child bearing age for folic acid supplementation?

A

The USPSTF recommends that all women who are planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 (400 to 800 ug) of folic acid.

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15
Q

The USPSTF recommends screening for gestational diabetes in asymptomatic pregnant persons at how many weeks?

A

at 24 weeks gestation or after

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16
Q

what is the recommendation for Hepatitis C virus screening?

A

Screen adults ages 18 to 79 years

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17
Q

What is the USPSTF recommendation screening for HIV infection?

A

USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years.

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18
Q

What is the USPSTF recommendation for hypertension?

A

USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure measurement. USPSTF recommends obtaining BP measurements outside of the clinical setting for diagnostic confirmation before starting treatment.

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19
Q

What is the USPSTF lung cancer screening ?

A

USPSTF recommends annual screening for lung cancer with LOW-DOSE COMPUTED TOMOGRAPHY (LDCT) in adults aged 50 to 80 years who have a 20 pack/yr smoking hx and currently smoking, or have quit within the past 15 years.

20
Q

When should screening for lung cancer be discontinued?

A

after a patient has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.

21
Q

What is the USPSTF recommendation screening for obesity in children?

A

USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer to refer them to comprehensive, intensive behavioral interventions to promote improvement in weight status.

22
Q

What is the USPSTF recommendation for osteoporosis to prevent fractures screening postmenopausal women younger than 65 years at increased risk of osteoporosis?

A

USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporosis with bone measurement testing to prevent osteoporotic fractures in postmenopausal women younger than 65 years who are at increased risk of osteoporosis, as determined by formal clinical risk assessment tool.

23
Q

What is the USPSTF recommendation for osteoporosis to prevent fractures: screening for women 65 years and older?

A

USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.

24
Q

What is the USPSTF recommendation for prediabetes and T2DM screening?

A

USPSTF recommends screening adults aged 35 to 70 for prediabetes and diabetes who are overweight or have obesity.

25
Q

What is the USPSTF recommendation for preventing of dental caries in children younger than 5 years screening and interventions?

A

USPSTF recommends that primary care providers prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is deficient in fluoride.

ALSO:
USPSTF recommends that pcps apply fluroide varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption.

26
Q

The USPSTF recommends Rh(D) incompatibility screening to be done when?

A

USPSTF strongly recommends Rh(D) blood typing and antibody testing for all pregnant women during their FIRST visit for pregnancy-related care.

27
Q

The USPSTF recommends Rh(D) incompatibility screening to be done for unsensitized Rh(D) negative pregnant women when?

A

USPSTF recommends repeated Rh(D) antibody testing for all unsensitized Rh(D) negative women at 24 to 28 weeks gestation, unless the biological father is known to be Rh(D) negative.

28
Q

The USPSTF recommends counseling young adults, adolescents, children and parents of young children about minimizing exposure to UV radiation for persons aged what?

A

Aged 6 months to 24 years with Fair skin types to reduce their risk of skin cancer.

29
Q

what is the USPSTF recommendation for statin use for the primary prevention of CVD in adults? what are the 3 criteria that must be met?

A

use a low to moderate dose statin for prevention of CVD events and morality when all of the following criteria are met:
1.) they are aged 40 to 75yrs
2.) they have 1 or more CVD risk factors (smoking, dyslipidemia, htn, dm)
3.) calculated 10 yrs ASCVD score greater than 10%

30
Q

what is the USPSTF recommendation for vision in children ages 6 months to 5 years?

A

USPSTF recommends vision screening at least once in all children aged 3 to 5 years to detect amblyopia (lazy eye) or its risk factors.

31
Q

what is the USPSTF stance on serologic screening test for genital herpes?

A

USPSTF recommends against routine serologic screening for genital herpes simplex virus infection in asymptomatic adolescents and adults, including pregnant persons.

32
Q

when are the development screenings done for children? what ages

A

at 9 months
at 18 months
at 30 months (2 1/2 yrs)

33
Q

when should depression screening begin for children?

A

at age 12

34
Q

what is the recommendation of folic acid supplementation for women of childbearing age?

A

0.4-0.8 mg daily of folic acid

35
Q

what is the age range for colorectal cancer screening?

A

50 to 75 years

36
Q

what is the cervical cancer screening recommendation for women ages 21 to 29?

A

just cytology only, screen every 3 years

37
Q

what is the age range for breast cancer screening?

A

biennial screening mammography in women every 50 to 74 years of age

38
Q

what is the lung cancer screening recommendation?

A

Screen annually with low-dose CT for individuals 55 to 80 of age with a 30 pack/yr hx who currently smoke OR who quit within the past 15 yrs.

39
Q

what is the osteoporosis screening recommendation?

A

screen women 65 yrs and older

40
Q

what is the screening recommendation for AAA?

A

Screen MEN aged 65 to 75 yrs of age who ever smoked (100-lifetime cigarettes) with a ONE-TIME abdominal aortic aneurysm ultrasonography

41
Q

what is the recommendation frequency for high-sensitivity guiac fecal occult blood test or fecal immunochemical test (FIT) ?

A

every year

42
Q

what is the recommendation frequency for stool DNA fit ?

A

every 1 to 3 years

43
Q

what is the recommendation frequency for computed tomography colongraphy?

A

every 5 years

44
Q

what is the recommendation frequency for flexible sigmoidoscopy?

A

every 5 years OR every 10 years + annual FIT

45
Q

what is the recommendation frequency for colonoscopy?

A

every 10 years for ages 45 to 75

Comprehensive Review For Boards (5 decks)

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