Module 7 USPSTF screening recommendations middle aged

Question 1

hypertension

Answer 1

A
office blood pressure measurement
- obtain measurements outside of clinical setting for dx confirmation

Question 2

cervical cancer

Answer 2

A
every 3 years cervical cytology alone
every 5 years high risk HPV testing

Question 3

colorectal cancer

Answer 3

A
guaiac: yearly 
DNA-FIT: 1-3 years
CT colonography: 5 years
flexible sigmoidoscopy: 5 years
colonoscopy: 10 years

Question 4

HIV

Answer 4

A

recommended for ages 15-65

Question 5

syphilis

Answer 5

A

IF at increased risk

Question 6

Tobacco cessation

Answer 6

A

Question 7

BRCA-related cancer

Answer 7

B
risk assessment; women with personal or family hx of breast, ovarian, tubal, or peritoneal cancer or family with BRCA1/2
-comprehensive review every 5-10 years

Question 8

Breast cancer

Answer 8

B
aged 50-74
- biennial screening mammogram

Question 9

chlamydia and gonorrhea

Answer 9

B

IF at increased risk

Question 10

Depression

Answer 10

B
recommends screening of the general population
- PHQ-2/PHQ-9

Question 11

healthy diet and physical activity

Answer 11

B

Question 12

Hepatitis B virus

Answer 12

B

IF at increased risk

Question 13

Hep C

Answer 13

B
recommends screening for hep C infection in adults aged 18-79
- One time screening
- periodically with increased risk

Question 14

Latent TB

Answer 14

B

IF at increased risk

Question 15

Lung Cancer

Answer 15

B
aged 50-80 with 20 pack year hx and currently smoke or quit within the last 15 years
- annual screening

Question 16

Osteoporosis to prevent fx

Answer 16

B

Postmenopausal women younger than 65 with increased risk

Question 17

Statin use for primary prevention of cardiovascular disease

Answer 17

B

• age 40-75 with no hx of CVD
• 1 or more CVD risk factors
• calculated 10 year CVD risk of 10% or greater

Question 18

Unhealthy alcohol use

Answer 18

B
recommends screening in adults 18 and older
- CAGE

Question 19

Unhealthy drug use

Answer 19

B

Screening by asking questions in adults 18 and older