Screening

Question 1

Fertility

Answer 1

Mention in 20s and 30s about devline at age 32

Question 2

Depression do you screen

Answer 2

Don’t screen

Unless immigrant population

Question 3

Poverty

Answer 3

Don’t screen because no good question

Question 4

Obesity

Answer 4

BMI at all general visits. >25 offer behavioral interventions

Question 5

BP

Answer 5

At all visits
Target: 140/90
130/80 in diabetes
150/90 in elderly

Question 6

Pap

Answer 6

Age 25-69 and sexually active q 3 years

Stop at 70 is has had 3 negatives in the past

Question 7

Breast cancer

Answer 7

50-74 with mammo only q 2-3 years

No office exam, self exam or MRI

Question 8

Diabetes

Answer 8

A1C every 1-5 years based on risk score
If high risk CANRISK measure every 3-5 years and if Very high risk should be screened anually
Technically noage to this recommendation

Question 9

Dyslipidemia

Answer 9

Fasting lipids in men >40 and women >50 until 75

Question 10

CRC

Answer 10

FIT q 1-2 years or flex sig q 10

Age 50-75 but can go up to 85

Question 11

STIs

Answer 11

When risks

Include HIV

Question 12

HPV vaccine

Answer 12

Women up to age 45

Men up to age 26

Question 13

Secondary prevention for cardio. List 4 drugs that have mortality benefit

Answer 13

ACE
ARB
BB
Statin
Antiplatelets

Question 14

Primary prevention cardiovascular drugs that have mortality benefit

Answer 14

?Statins but not over 80 years old

Question 15

List four things to screen for in the elderly

Answer 15

CCFP
Cancer (Based on risks and benefits, patient values, and life expectancy
CVD (A1C 7.5 or 8.5, lipids until 80 BP 150/80)
Falls and osteoporosis (vit D and calcium ?Bisphosphonate)
Preventative immunizations (flu, pneumonia once after 65, tetanus, herpes zoster

Question 16

List four things to consider when thinking about screening in the elderly

Answer 16

Patient values
Life expectancy 
Frailty 
Age
Risks and benefits of testing

Question 17

How to assess life expectancy

Answer 17

Frailty scale
Age
Gender

Question 18

List five things to cover in anual exam in patient in LTC

Answer 18

Current active issues
Advanced directive
Medications 
Fuctional status
Immunizations 
Screen for falls 
Pain control 
Blood pressure