Screening

Question 1

Pt w/ significant Fam/Personal Hx of breast cancer should have BRCA testing performed?

Answer 1

No - Genetic counseler first

Question 2

Most unbiased source for screening guidelines?

Answer 2

USPSTF

Question 3

USPSTF mammogram GLs?

Answer 3

Q2yrs between 50-74yo

- Against SBEs/insuff evidence of CBEs

Question 4

USPSTF Colon screening GL’s

Answer 4

50-75yo - Q10y at 50yo

• Fecal Immunochemical test Q1yr
• Flex sigmoidoscopy Q5y
• Colonoscopy Q10y

Question 5

1 FDR CRC - Pt >60yo req what screening? Alt criteria?

Answer 5

Begin at age 50yo

Or >2 SDR

Question 6

1 FDR CRC - Pt <60yo req what screening? Alt criteria?

Answer 6

Begin at 40yo OR 10yrs younger than age at Dx of youngest affected relative (Whichever comes 1st)
- Q5y after
Alt criteria >2 SDR

Question 7

When should you consider age 45yo CRC screening immedietaetly w/out fam Hx?

Answer 7

Blacks

Non-ETOH fatty liver Dz

Question 8

Cervical screening 21-29

Answer 8

PAP Q3yrs

Question 9

Cervical Screening 30-65yo

Answer 9

PAP Q3yrs OR

Contest - PAP/HPV Q5y

Question 10

Cervical screening <21yo?

Answer 10

None

Question 11

Cervical screening w/ >65 and adequate screening and not HR?

Answer 11

None

Question 12

Should a HPV test be conducted on <30yo?

Answer 12

No

Question 13

Asymptomatic adults w/ 30 ppy smoking Hx who either currently smoke or quit w/in last 15yrs are screened when?

Answer 13

Annually Between 55-80yo for Lung Cancer w/ Low dose CT

Question 14

When should you discontinue Low dose CT screenings for Lung cancer?

Answer 14

Not smoked for 15yr OR

Develops health problems