Preventative Medicine-Lecture 2

Question 1

Should we screen our low risk adults for heart disease with EKG?

Answer 1

no, grade D

can cause harm due to variations of normal

Question 2

Should we screen pts with no hx of CHD and no traditional risk factors for CVD?

Answer 2

no

Question 3

USPSTF recommendation on carotid artery stenosis?

Answer 3

grade D

can be harm associated on next steps

Question 4

USPSTF recommendation on hyperlipidemia screenign.

Answer 4

<20, insufficient evidence

Yes for those 40-75 with no CVD, those with one risk factor for CVD (Grade B)

if 76+ with no CVD< no

Question 5

USPSTF recommendation for screening men for AAA?

Answer 5

Grade B for 65-75 who have ever smoked

Grade C for those 65-75 for those who have never smoked

Question 6

USPSTF recommendation for screening for women for AAA?

Answer 6

No evidence 65-75 who have ever smoker

Grade D 65-75 who have never smoked

Question 7

USPSTF recommendation for PAD?

Answer 7

insufficient evidence

Question 8

USPSTF recommendation for ASA prophylaxis?

Answer 8

Grade B for ASA to prevent CVD and colorectal cancer
for those 50-59 if >10 yr CVD risk, not at risk for bleeding, at least 10 yr life expectancy

Grade C for those 60-69 with >10 yr CVD risk

Question 9

CV disease risk factors

Answer 9

diet, smoking, HTN, dyslipidemia, obesity, physical activity, DM

Question 10

USPSTF recommendation for screening for colorectal cancer?

Answer 10

Grade A= adults age 50-75

Grade C= adults 76-85

Question 11

USPSTF recommendation for screening for Prostate cancer

Answer 11

Grade D

harm due to false positive, biopsy side effects, over treatment, bowel control problems, etc.

Question 12

USPSTF recommendation for cervical cancer

Answer 12

screen women 21-65 years old

No HPV before 30

Question 13

USPSTF recommendation for lung cancer

Answer 13

grade B for adults aged 55-80 with hx of smoking

Question 14

USPSTF recommendation for skin cancer screening

Answer 14

insufficient evidence

Question 15

USPSTF recommendation for breast cancer screening

Answer 15

Grade C: 40-49 yo

Grade B: every 2 yrs age 50-74

Question 16

ACOG recommendation for breast cancer screening

Answer 16

every yr 40-74

Question 17

USPSTF recommendation for Chlamydia and Gonorrhea

Answer 17

Grade B: sexually active adults and adolescents

Question 18

USPSTF recommendation for Hep B screening

Answer 18

Grade A: pregnant women at first prenatal exam

Grade B: those at high risk

Question 19

USPSTF recommendation for Hep C screening?

Answer 19

Grade B: those at high risk at once for those born between 1945 and 1965

Question 20

USPSTF recommendation for HIV screening

Answer 20

Grade A: adults and adolescents 15-65, all pregnant women

Question 21

USPSTF recommendation for syphilis screening

Answer 21

Grade A: asymptomatic, non pregnant adults and adolescents at increased risk

all pregnant women

Question 22

What psychosocial health concerns do we screen for?

Answer 22

depression, substance abuse, intimate partner violence