Screening Flashcards
clinical screening for breast cancer?
50-74 routine mammography every 2-3 years
Is clinical breast exam recommended
No
Is breast self exam recommended
No
What age does breast screening stop
75
When should paps start
Age 21
How often for typical Pap screening
3 years
When should paps stop
69 if 3 negative in the last 10 years
Should a 21 year old virgin get a pap
Not til sexually active
Should a woman with hysterectomy get a Pap test
Not if it was total, for benign disease, and no previous high grade Pap result
Who should have paps every year
Immunocompromised, HIV+, previous high grade lesions
What happens to hpv infections
90% self resolve in 2 years
When do you screen an adult for diabetes
Every 3-5 years only if they’re at high risk
Colon cancer screening recommendations
50-74, FOBT q2yrs or sigmoidoscopy q10yrs
Symptoms that require urgent investigation for colon cancer
Rectal bleeding, persistent changes in bowel habits, abdo pain or unexplained weight loss or anemia
Should prostate cancer be screened for
No
Should depression be screened for
No
When should lung cancer be screened for
55-74 years with 30+ pack year history and currently smoking or quit in the last 15years
What diagnostic tools used for lung cancer screening
Low dose ct LDCT
Framingham risk score is used for
Estimation of risk for cv disease
The probability of being free of a disease if the result is negative is called
Negative predictive value
NPV varies with what
The pretest probability of the disease
What happens to sensitivity and specificity if you raise the cutoff value of a test? E.g. you need 3/4 criterion instead of 2/4
It will increase specificity and decrease sensitivity
Incidence is
The number of new cases
Prevalence is
The number of existing cases
Incidence x duration of disease =
Prevalence
Assessment of hypertension should include what investigations
Serum chemistry panel, hemoglobin, urinalysis
When should bladder cancer be screened for?
Never asymptomatically - doesnt provide survival benefit
Scan that looks at metabolic processes such as blood flow, regional chemical composition, and absorption
PET (positron emission tomography)
For adults of average risk, screening for CRC is recommended beginning at age
45
Patients with first degree relative with CRC should begin testing
At age 40, or 10 years before their relative was diagnosed
Autism screening is routinely performed at ages
18m and 2y
Depression screening starts at age
12
Quadrivalent meningococcal vaccination is at age
Grade 6, 11 or 12
Rotavirus vaccine is given at age
2-8 months
Vision should be screened how often in kids
At every well child visit
How often do we check A1C in clinic?
Every 3 months
When should diabetes screening start?
40, or sooner with additional risk factors
When should lipid screening occur?
40 for men, 50 for women. Earlier if risk factors present.
What age do Pap tests stop?
69 it past 3 in last 10 years were clear
When would we test for HPV?
30YO+, only used in the case of specific results
Mammograms should start at age
50
Mammograms should occur how often
Every 2 years
How much radiation in mammogram
Low dose, equivalent of 7 weeks background radiation
Screening for colon cancer starts at
50, or 10 years before 1st degree relative was diagnosed
FOBT occurs how often
Every 2 years
When is pneumococcal vaccine indicated early?
Adults with higher risk for pneumonia - diabetes, copd, asthma, CHF, asplenia, liver disease
What age is the pneumococcal vaccine indicated in general population?
Age 65
Osteoporosis screening is conducted how often
Every 5 years for low risk, 1-3 doe high
What age is osteoporosis screening started at
65
How often should adults get tetanus booster
Every 10 years
When should adults get tdap
Once in adulthood
Who is shingles vaccine recommended for?
Adults older than 50 years old
What age does colon cancer screening stop for average people?
74
How often is lung cancer screened for
Annually - but if three are normal then you stop
