US-PSTF (basic) Flashcards
AAA (screening)
Male 65-75
• Any history of smoking
• US abd x1
The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked.
Aspirin to prevent CVD / ColoRectal Cancer
Aspirin low dose @ Adults 50-59 • 10% 10y CVD risk • Not at risk for bleeding • Life expectancy > 10y • Willing to take medication QD > 10y
The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) in adults aged 50 to 59 years who have a 10% or greater 10-year CVD risk, are not at increased risk for bleeding, have a life expectancy of at least 10 years, and are willing to take low-dose aspirin daily for at least 10 years.
Asymptomatic Bacteriuria in Adults (screening)
UC in pregnant women
• 1st prenatal visit / 12-16w gestation
• 100k single pathogen / 10k GBS
The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons
BRCA-Related Cancer (risk assessment)
Personal or Family History of Breast, Ovarian, Tubal, Peritoneal cancer, BRCA 1/2 in family
• Brief familial risk assessment tool
• If positive –> Genetic counseling / testing
The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk assessment tool. Women with a positive result on the risk assessment tool should receive genetic counseling and, if indicated after counseling, genetic testing.
Breast cancer (medication use to reduce risk)
- Women 50-74 yo
- Mammogram q2y
The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.
BreastFeeding (intervention)
• Provide interventions during pregnancy & after birth
The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding.
Cervical Cancer (screening)
• Women 21-29: Cervical cytology q3y • Women 30-65 (either one) o Cervical cytology q3y o High risk HPV testing q5y o [Cytology + HPV] q5y
The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting). See the Clinical Considerations section for the relative benefits and harms of alternative screening strategies for women 21 years or older.
Chlamydia and Gonorrhea (screening)
- Women < 24: Sexually active
- Women > 25: high risk for infection
The USPSTF recommends screening for gonorrhea in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection.
Colorectal cancer (screening)
- Adults 45-49 (grade B)
- Adults 50-75: (grade A)
The USPSTF recommends screening for colorectal cancer in all adults aged 50 to 75 years.
The USPSTF recommends screening for colorectal cancer in adults aged 45 to 49 years.
Dental caries (screening)
Birth through 5yo
• Oral fluoride supplement @ age 6m IF water supply deficient in fluoride.
• Apply fluoride varnish to primary teeth of all infants & children starting at the age of primary tooth eruption.
The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is deficient in fluoride.
The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption.
Depression in Adults (screening)
• General adult population, including pregnant and post partum women.
The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.
Depression in Children (screening)
• Age 12-18
The USPSTF recommends screening for major depressive disorder (MDD) in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.
Fall (prevention)
- Adult > 65 in community dwelling
- Increased risk for falls (age, prior history, function, mobility)
The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls.
Folic acid for NTD prevention
- All women planning/capable of pregnancy
- Folate 0.4-0.8mg QD
The USPSTF recommends that all women who are planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid.
Gestational Diabetes (scrrening)
Asymptomatic pregnancy > 24w x1
• Fasting glucose
• Oral glucose tolerance test
The USPSTF recommends screening for gestational diabetes in asymptomatic pregnant persons at 24 weeks of gestation or after.
CVD prevention in adults with CVD risk factors (behavioral counseling intervention)
Behavioral counseling for healthy diet & physical activity
• HTN / HLD / CVD risk > 7.5%
• Diet & physical activity
The USPSTF recommends offering or referring adults with cardiovascular disease risk factors to behavioral counseling interventions to promote a healthy diet and physical activity.
Healthy weight and weight gain in Pregnancy (behavioral counseling intervention)
Behavioral counseling interventions
• Promote healthy weight gain
• Prevent excess gestational weight gain
The USPSTF recommends that clinicians offer pregnant persons effective behavioral counseling interventions aimed at promoting healthy weight gain and preventing excess gestational weight gain in pregnancy.
Hepatitis B virus infection in adolescents & adults (screening)
Adolescent & Adults @ increased risk for infection
• Asymptomatic / Non pregnant
• Even with prior vaccination
• High prevalence area / HIV positive / IVDU / homosexual / household or sexual contact with HBV+
The USPSTF recommends screening for hepatitis B virus (HBV) infection in adolescents and adults at increased risk for infection.