Screening

Question 1

ADVANTAGES of screening

Answer 1

• Some are simple
• can be cost effective
• Ind vs population
• 1 test or multiple test screening
• Opportunity

Question 2

DISADVANTAGES of screening

Answer 2

• False positive

- False negative

Question 3

Recommended Screening of USPSTF

Answer 3

The US Preventive Services Task Force is a panel of experts in primary care and prevention who reviews the evidence of effectiveness and develops recommendations for clinical preventive services.

Question 4

USPSTF Grading Recommendations A

Answer 4

The USPSTF recommends the service. There is high certainty that the net benefit is substantial

Question 5

USPSTF Grading Recommendations B

Answer 5

The USPSTF recommends the service. There is high certainty that the net benefits is moderate or there is moderate certainly that the net benefit is node rate to substantial

Question 6

USPSTF Grading Recommendations C

Answer 6

The USPSTF recommends selectively offering or providing this service to individual patients based on professional judgement and patient preferences. there is at least moderate certainty that the net benefit is small

Question 7

USPSTF Grading Recommendations D

Answer 7

The USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweighs the benefits

Question 8

USPSTF Grading Recommendations I

Answer 8

The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, or poor quality, or conflicting, and the balance of benefits and harms cannot be determined

Question 9

mammogram of breast cancer

Answer 9

• Women age 50-74 biennial grade B

- Women age 40-49 grade C

Question 10

Colorectal cancer

Answer 10

-adults ages 50-75 years-grade A
-Age 76-85 Grade C individual decision
The best test is a colonoscopy

Question 11

Lung cancer

Answer 11

• Age 55-80 grade B, LDCT 30 pack-year smoking even if quit 15 years prior

Question 12

Prostate cancer exam and PSA

Answer 12

• Men aged 55 t5o 69 grade C-should be individual

- Men over 70 grade D not recommended

Question 13

Pancreatic Cancer

Answer 13

-Asymptomatic adults-grade D

Question 14

Cardiovascular Disorders preventive Medication

Answer 14

• aspirin
• Statin use
• Vitamin supplementation

Question 15

What is Primary Objective screening

Answer 15

Detection of a disease in its early stages in order to treat it and determine its progression.

Question 16

What is secondary objective screening

Answer 16

Reduce cost of disease management by avoiding costly interventions required at later stages.