Screening

Question 1

Mandatory immigrant medical exam before arriving to Canada

Answer 1

Complete physical including vision and hearing
>5yo: UA for protein and glucose (DM), blood and urine micro if abnormal
>11yo: CXR for TB
>15yo or risk factor: HIV, syphilis

Question 2

Recommended immigrant screening

Answer 2

HepB/C
TB skin test
HIV
DM in >35yo south Asian, Latin, African
Fe deficiency in women and children
Dental disease

Question 3

Follow up go ASCUS

Answer 3

Repeat pap in 6 months, if >ASCUS then colpo
If HPV 16/18 positive refer for colpo

If normal, return to routine

Question 4

ASC-H (cannot rule out HSIL)

Answer 4

Colpo

Question 5

AGC

Answer 5

Colpo and endometrial sampling

Question 6

LSIL

Answer 6

Repeat pap in 12 months, if >ASCUS then colpo
If normal then repeat again in 12 months then return to screening if normal

Question 7

HSIL

Answer 7

Colpo

Question 8

Squamous/adeno/ other neoplasms on pap

Answer 8

Colpo

Question 9

Unsatisfactory for evaluation pap

Answer 9

Repeat in 3 months

Question 10

Discharge from colpo

Answer 10

ASCUS/LSIL with HPV negative routine q3yr screening

ASCUS/LSIL with HPV positive annual screening

Question 11

Screening after hysterectomy (BC cancer agency guidelines)

Answer 11

If no history abnormality discontinue pap

If no previous pap discontinue after 2 negative vault tests one year apart

If previous abnormality need 3 vaginal vault smears over 3 years then discontinue

Question 12

Smoker CT chest

Answer 12

55-74years with >30 pack year or quit <15yr ago

Annual CT for 3 years

Question 13

Prostate screening

Answer 13

CTFPHC none

Urological association >50yo and >15yr expected lifespan annual screen (>40yo if FHx)

Question 14

AAA

Answer 14

Men 65-80 one time US

Question 15

Lipids

Answer 15

Q5yr