Screening Guidlines Flashcards
1
Q
Cervical Ca Screening
A
2 options
- Pap smear = 21 to 65 yo every 3 yrs OR
- Pap + HPV testing = 30 to 65 yo every 5 yrs
Treatments
- High-grade lesions w/ablative & excisional therapies, including cryotherapy, laser ablation, loop excision, and cold- knife conization.
- Early-stage w/surgery (hysterectomy) or chemoradiation.
2
Q
Breast Ca Screening
A
Mammography
- 50 to 74 yo every 2 yrs (biennial)
- start at 40 if 1st degree relative
3
Q
Colon Ca Screening
A
Screen
- 50 to 75 yo (men and black higher risk)
4
Q
Prostate Ca Screening
A
- U.S. Preventive Services Task Force (USPSTF) = against prostate-specific antigen (PSA)
- AUA = shared decision-making for 55 to 69 yo (>40 for high risk = Black, FH)
- ACS = shared decision-making for 50 to 69 yo (>40 for high risk = Black, FH)
5
Q
STI Screening
- Chlamydia
- Gonorrhea
- Syphilis
- HIV
- Hepatitis B
- Hepatitis C
- HSV
- HPV
A
USPSTF, AAFP, CDC, ACOG
- Chlamydia = at increased risk
- Screen all Pregnant
- Gonorrhea = at increased risk
- Syphilis = at increased risk
- Screen all Pregnant
- HIV = at increased risk (CDC - all)
- Screen all Pregnant
- Hepatitis B = do not screen general public
- Screen all Pregnant
- Hepatitis C = do not screen general public
- HSV = do not screen general public, screen if partner has HSV
- Don’t screen Pregnant
- HPV = Testing with a Pap smear is an option for women older than 30 years
- Don’t screen Pregnant
6
Q
Pediatrics Immunizations
A
7
Q
Adult Immunizations
A
8
Q
Adult Immunizations w/contraindications
A
9
Q
HTN management (JNC 8 guidelines)
A
- Maximize 1st medication before adding 2nd OR
- Add 2nd medication before reaching max dose of 1st OR
- Start with 2 medications classes separately OR as a fixed dose combination
10
Q
HTN management & comorbidities
A
11
Q
Lipid Management (Joint ACC/AHA, 2013)
4 patient classes
A
12
Q
Lipid Management (Joint ACC/AHA, 2013)
Categories & risk factor
A
