Preventative Screenings

Question 1

Clinical breast exam

Answer 1

Every 1-3 years beginning at age 20
>40: annual clinical breast exams
Mammography >40 years annually

Question 2

Clinical pelvic exam

Answer 2

19-20 years old: only when indicated

>21 years old: Annually

Question 3

Cervical cytology

Answer 3

> 21 years: Every 2 years
30 years: Every 3 years after 3 consecutive negative results OR after negative HPV DNA test and cervical cytology
65 years: Consider discontinuing if patients has >3 normal tests in a row and no history

Question 4

Chlamydia and gonorrhea testing

Answer 4

Annually, if <25 years and sexually active

Question 5

Bone mineral density screening

Answer 5

> 65 years old, screen no more than every 2 years

Question 6

Colorectal cancer screening

Answer 6

> 50 years old, screen once every 10 years

African Americans: >45 years old screen once every 10 years

Question 7

Diabetes testing

Answer 7

> 45 years old, every 3 years

Question 8

Genetic testing/counseling

Answer 8

k

Question 9

Hemoglobin level assessment

Answer 9

h

Question 10

Lipid profile assessment

Answer 10

> 45 years, every 5 years

Question 11

Immunizations for 19-39 year olds

Answer 11

DTaP, HPV, Influenza, MMR, Varicella

High risk: Hep A, Hep B, meningococcus, pneumococcus

Question 12

Thyroid profile assessment

Answer 12

> 50 years, every 5 years

Question 13

High-Risk Factors for BMD screening

Answer 13

Postmenopausal and 1 year)

Family history of osteoporosis

Caucasian
Poor nutrition
Low lifelong calcium intake
Smoking
Low weight and BMI
Inadequate physical activity
Alcoholism