Screening Guidelines Flashcards
How should you screen for AAA?
Abdominal U/S
What age group should be screened for AAA?
65-75 years old
How many cigarettes are enough to be screened for AAA?
> 100 cigarettes
Should women who have never smoked be screened for AAA?
No. Specific recommendations against screening.
Should women who have smoked be screened for AAA?
No specific recommendations regarding screening.
Which non-smoking men should be screened for AAA?
Men between ages 65-75 who have a 1st degree relative with AAA
Who should be screened for depression?
Every person, including pregnant and postpartum women
How do you screen for depression?
PHQ-2 or PHQ-9 surverys
Which is a better screening tool, PHQ-2 or PHQ-9?
Neither has any benefit over the other for screening.
If PQH-2 depression screen is positive, what is the next step?
Use PHQ-9 for diagnosis
What is populations should be screened with specific depression screening tools?
Elderly (Geriatric Depression Scale)
Pregnant/ Postnatal (Eidenborough Postnatal Depression Scale)
Who should be screened for DM?
USTSPF: Age 40-70 who are overweight or cbese.
ADA:
Obese or overweight at any age
Individuals with risk factors
Everyone over age 45
How do you screen for DM?
HbA1c or fasting serum glucose
What is the next step once someone is diagnosed with DM?
Behavioral counseling to promote a healthy diet and exercise
Which individuals are at increased risk of DM?
- 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)
How often should you screen for DM?
q3 year if previous negative screen
q1 year if pre-diabetic (HbA1c 5.7%)
Who should be screened for HLD?
Age 40 to 75
Why is screening for HLD important?
To calculated the 10 year ASCVD risk in ages 40-75
To start statin therapy
How often should you screen for HLD?
q5 years if previous negative screen
Longer if negative screens and no cardiovascular dz
q1 year if results close to treatment range
Should you screen individuals between age 21-39?
It depends, use your clinical judgement because not enough data to show benefit
Who does the AHA recommend to screen for HLD?
> 20 years old
How often does the AHA recommend to re-evaluate ASCVD score in low risk individuals (<7.5%)?
q4-6 years
Who should be screened before age 45 according to the ADA?
People with FHx of premature coronary artery disease or have physical findings of familial hypercholesterolemia
