Screening Guidelines

Question 1

How should you screen for AAA?

Answer 1

Abdominal U/S

Question 2

What age group should be screened for AAA?

Answer 2

65-75 years old

Question 3

How many cigarettes are enough to be screened for AAA?

Answer 3

> 100 cigarettes

Question 4

Should women who have never smoked be screened for AAA?

Answer 4

No. Specific recommendations against screening.

Question 5

Should women who have smoked be screened for AAA?

Answer 5

No specific recommendations regarding screening.

Question 6

Which non-smoking men should be screened for AAA?

Answer 6

Men between ages 65-75 who have a 1st degree relative with AAA

Question 7

Who should be screened for depression?

Answer 7

Every person, including pregnant and postpartum women

Question 8

How do you screen for depression?

Answer 8

PHQ-2 or PHQ-9 surverys

Question 9

Which is a better screening tool, PHQ-2 or PHQ-9?

Answer 9

Neither has any benefit over the other for screening.

Question 10

If PQH-2 depression screen is positive, what is the next step?

Answer 10

Use PHQ-9 for diagnosis

Question 11

What is populations should be screened with specific depression screening tools?

Answer 11

Elderly (Geriatric Depression Scale)

Pregnant/ Postnatal (Eidenborough Postnatal Depression Scale)

Question 12

Who should be screened for DM?

Answer 12

USTSPF: Age 40-70 who are overweight or cbese.

ADA:
Obese or overweight at any age
Individuals with risk factors
Everyone over age 45

Question 13

How do you screen for DM?

Answer 13

HbA1c or fasting serum glucose

Question 14

What is the next step once someone is diagnosed with DM?

Answer 14

Behavioral counseling to promote a healthy diet and exercise

Question 15

Which individuals are at increased risk of DM?

Answer 15

• Every ethnicity except white people
• FHx of DM in 1st degree relative
• Hx of cardiovascular disease
• Hypertension (>140/90)
• HDL <35 or TG >250
• Personal history of gestational DM
• PCOS
• Physical inactivity
• Clinical suspicion (obesity, acantosis nigracans)

Question 16

How often should you screen for DM?

Answer 16

q3 year if previous negative screen

q1 year if pre-diabetic (HbA1c 5.7%)

Question 17

Who should be screened for HLD?

Answer 17

Age 40 to 75

Question 18

Why is screening for HLD important?

Answer 18

To calculated the 10 year ASCVD risk in ages 40-75

To start statin therapy

Question 19

How often should you screen for HLD?

Answer 19

q5 years if previous negative screen
Longer if negative screens and no cardiovascular dz
q1 year if results close to treatment range

Question 20

Should you screen individuals between age 21-39?

Answer 20

It depends, use your clinical judgement because not enough data to show benefit

Question 21

Who does the AHA recommend to screen for HLD?

Answer 21

> 20 years old

Question 22

How often does the AHA recommend to re-evaluate ASCVD score in low risk individuals (<7.5%)?

Answer 22

q4-6 years

Question 23

Who should be screened before age 45 according to the ADA?

Answer 23

People with FHx of premature coronary artery disease or have physical findings of familial hypercholesterolemia