US Preventative Task Force Recommendations

Question 1

AAA Abdominal Aortic Aneurysm (Gender, Age, Risk Factor)

Answer 1

MEN
65 - 75 years old
Smokers

Question 2

PEDIATRIC Anxiety Screen (age)

Answer 2

8 - 18 years old

Question 3

PEDIATRIC Depression Screen (age)

Answer 3

12 - 18 years old

Question 4

WOMEN PREGNANCY
Pre-eclampsia Prevention
Medication, Dose, When to start

Answer 4

Aspirin 81 mg
AFTER 12 weeks AOG in high risk

Question 5

WOMEN BRCA screening
(Hint: History of …)
Next step after Risk assessment tool –>

Answer 5

Personal/Family history of breast, ovarian, tubal, peritoneal cancer
Risk Assessment tool –> Genetic Counseling

Question 6

WOMEN with Increased Breast Ca risk (Age and Management)

Answer 6

35+
Tamoxifen, Raloxifene or aromatase inhibitors

Question 7

WOMEN Breast Cancer Screen (Age and Frequency)

Answer 7

50 - 74 biennial / Every 2 years

Question 8

WOMEN Breastfeeding

Answer 8

Support breastfeeding before, during and after pregnancy

Question 9

WOMEN Cervical Cancer Screen (Age, Type)

Answer 9

21 - 29, Q3 years, Cytology Alone
30 - 65
- Q3 years Cytology Alone or
- Q5 years hrHPV Alone
- Q5 years Combination Cytology/hrHPV

Question 10

INFECTIOUS STI STD Screen Chlamydia and Gonorrhea
(age range)

Answer 10

Women up to 24 (All)
Women 25+ increased risk

Question 11

INFECTIOUS STI STD Screen HIV

Answer 11

f

Question 12

Colorectal Cancer Screen (Age)

Answer 12

45 - 49 Grade B
50 - 75 Grade A

Question 13

PEDIATRIC Depression / Suicide Screen (age)

Answer 13

12 - 18

Question 14

GERIATRIC Fall (Age + Recommendation)

Answer 14

65+ and exercise intervention

Question 15

WOMEN Supplement for those of Reproductive Age

Answer 15

Folic Acid 0.4 - 0.8 mg

Question 16

WOMEN PREGNANCY Diabetic Screen

Answer 16

Asymptomatic 24+ weeks AOG

Question 17

WOMEN PREGNANCY Weight Gain

Prepregnancy BMI / Total / 2-3 Trimester

Answer 17

Offer counseling
ACOG
During your first 12 weeks—the first trimester—you may gain only 1 to 5 pounds or no weight at all. In your second and third trimesters, if you were a healthy weight before pregnancy, you should gain between half a pound and 1 pound per week.

<18.5: |28-40 lbs (1- 1.3lbs)
~18.5-24.9 |35-35 lbs (0.8-1 lbs)
~25-29.9 |15-25 lbs (0.5-0.7 lbs)
>30 |11-20 lbs (0.4-0.6 lbs)

Question 18

INFECTIOUS Hepatitis B Screen
(New cases in adults vs most cases)

Answer 18

New Adults IV Drugs or sexual intercourse,

Most prevalent cases of HBV infection are chronic infections from exposure occurring in infancy or childhood.

Another major risk factor for HBV infection is country of origin.

In children, the primary source of infection is perinatal transmission at birth.

Question 19

PREGNANCY Hepatitis B Screening

Answer 19

Screen hepatitis B at first prenatal visit

Question 20

INFECTIOUS Hepatitis C (Age)

Answer 20

18-79 years of age

Question 21

INFECTIOUS HIV (Age)

Answer 21

15-65
Also anyone at increased risk

Question 22

PREGNANCY HIV

Answer 22

Screen all pregnant women including those in labor and unknown status

Question 23

HYPERTENSION (Adults age)

Answer 23

18+

Question 24

Intimate Partner Violence
Elder Abuse
Abuse of Vulnerable Adults (Women)

Answer 24

All women of reproductive age
Risk factors: exposure to violence as a child, young age, unemployment, substance abuse, marital difficulties, and economic hardships.

Elder abuse: isolation and lack of social support, functional impairment, and poor physical health. For older adults, lower income and living in a shared living environment with a large number of household members (other than a spouse) are associated with an increased risk of financial and physical abuse.

Screening Tests
- women: Humiliation, Afraid, Rape, Kick (HARK); Hurt/Insult/Threaten/Scream (HITS); Extended Hurt/Insult/Threaten/Scream (E-HITS); Partner Violence Screen (PVS); and Woman Abuse Screening Tool (WAST).

The USPSTF found no valid, reliable screening tools in the primary care setting to identify abuse of older or vulnerable adults without recognized signs and symptoms of abuse.
Treatments and Interventions Effective interventions generally included ongoing support services that focused on counseling and home visits, addressed multiple risk factors (not just IPV), or included parenting support for new mothers.
The USPSTF found inadequate evidence that screening or early detection of elder abuse or abuse of vulnerable adults reduces exposure to abuse, physical or mental harms, or mortality in older or vulnerable adults.

Question 25

INFECTIOUS Latent Tuberculosis Infection (Risk Factors)

Answer 25

born in, or are former residents of, countries with increased tuberculosis prevalence and persons who live in, or have lived in, high-risk congregate settings (eg, homeless shelters and correctional facilities).

Screening:
Mantoux tuberculin skin test
Interferon-gamma release assays;
both are moderately sensitive and highly specific for the detection of LTBI.

Question 26

Lung Cancer Screen (Age, pack years, smoking status)

Answer 26

ANNUAL LD CT Chest
50-80 years old
20 Pack year smoker
Current smoker or quit within last 15 years
Asymptomatic
Discontinue 15 years after quitting or limited life expectancy

Question 27

PEDIATRIC Obesity Screening (Age)

Answer 27

Age 6 and older
- offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.

Frequency of Service
Height and weight, which are necessary for BMI calculation, are routinely measured during health maintenance visits.

26 contact hours or more over a period of 2 to 12 months resulted in weight loss
52 contact hours or more demonstrated greater weight loss and some improvements in cardiovascular and metabolic risk factors

Risk Factor Information
Parental obesity, poor nutrition, low levels of physical activity, inadequate sleep, sedentary behaviors, and low family income; maternal diabetes, maternal smoking, gestational weight gain, and rapid infant growth.
A decrease in physical activity in young children is a risk factor for obesity later in adolescence.
Obesity rates continue to increase in some racial/ethnic minority populations. These racial/ethnic differences in obesity prevalence are likely a result of both genetic and nongenetic factors (e.g., socioeconomic status, intake of sugar-sweetened beverages and fast food, and having a television in the bedroom).3

Question 28

NEWBORN Ocular Prophylaxis

Answer 28

Phophylactic ocular topical medication for ALL newborns to prevent gonococcal ophthalmia neonatorum

Question 29

Osteoporosis to Prevent Fractures

Answer 29

Post menopausal women
< 65 years old: increased risk (parental history of hip fracture,smoking, excess alcohol consumption, and low body weight.
Tools:OST, ORAI, OSIRIS, SCORE, and FRAX.

> 65 years old: All

Question 30

PREGNANT Perinatal Depression

Answer 30

Risk factors: a history of depression, current depressive symptoms (that do not reach a diagnostic threshold), low income or adolescent or single parenthood, recent intimate partner violence, or mental health–related factors such as elevated anxiety symptoms or a history of significant negative life events.

Interventions: Studies on counseling interventions to prevent perinatal depression mainly included cognitive behavioral therapy and interpersonal therapy.

The USPSTF found limited or mixed evidence that other studied interventions such as physical activity, education, pharmacotherapy, dietary supplements, and health system interventions were effective in preventing perinatal depression.