Screening Tests Flashcards
What age start screening for lipid disorders?
35yrs
Strongly recommended that men are screened for lipid disorders at age 35, even in the absence of other risk factors. Screening would occur earlier in the presence of DM, FMHx of heart disease before 50yo, or with other risk factors.
58yo M smoker, considering to quit, denies cough, SOB, hemoptysis. What screening?
No screening recommended, does not improve mortality
Cancer screening w/ FMHx of father w/ colorectal cancer at 62yo. When to begin?
50yo or 10 years before affected family member was diagnosed (whichever is SOONER)
BSE recommendations from AAFP?
Dont do it, dont teach it.
Prostate cancer screening recommendations?
Insufficient evidence to recommend for or against screening in men young than 75yo
When to begin cervical cancer screening?
Screening can be safely delayed until 3 years after the onset of sexual activity or age 21yo, whichever comes first.
When to stop cervical cancer screening?
USPSTF: stop at 65yo
ACS: discontinue at 70yo, but also who had three or more normal Pap tests and has had no abnormal Pap tests in last 10years
Pt w/ cousin dx w/ UNILATERAL breast cancer, no other relatives. Recommendations for genetic screening?
This patient should not be offered testing.
- Two first-degree relatives, one of whom was diagnosed <50yo
- Three of more first- or second- degree relatives, regardless of age
- Combination of breast and ovarian cancers among first- and second-degree relatives
- First-degree relative with bilateral breast cancer
- Combination of two or more first- or second-degree relatives with ovarian cancer, regardless of age
- A first- or second-degree relative w/ both breast and ovarian cancer at any age
- Male relative w/ breast cancer
Ashkenazi Jews offered testing if any first-degree relative (or two second-degree relative) are diagnosed w/ breast or ovarian cancer.
