US-PSTF (basic) Flashcards

1
Q

AAA (screening)

A

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.

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2
Q

Aspirin to prevent CVD / ColoRectal Cancer

A
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.

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3
Q

Asymptomatic Bacteriuria in Adults (screening)

A

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

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4
Q

BRCA-Related Cancer (risk assessment)

A

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.

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5
Q

Breast cancer (medication use to reduce risk)

A
  • Women 50-74 yo
  • Mammogram q2y

The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.

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6
Q

BreastFeeding (intervention)

A

• Provide interventions during pregnancy & after birth

The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding.

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7
Q

Cervical Cancer (screening)

A
•	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.

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8
Q

Chlamydia and Gonorrhea (screening)

A
  • 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.

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9
Q

Colorectal cancer (screening)

A
  • 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.

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10
Q

Dental caries (screening)

A

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.

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11
Q

Depression in Adults (screening)

A

• 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.

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12
Q

Depression in Children (screening)

A

• 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.

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13
Q

Fall (prevention)

A
  • 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.

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14
Q

Folic acid for NTD prevention

A
  • 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.

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15
Q

Gestational Diabetes (scrrening)

A

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.

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16
Q

CVD prevention in adults with CVD risk factors (behavioral counseling intervention)

A

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.

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17
Q

Healthy weight and weight gain in Pregnancy (behavioral counseling intervention)

A

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.

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18
Q

Hepatitis B virus infection in adolescents & adults (screening)

A

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.

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19
Q

Hepatitis B virus infection in pregnant women (screening)

A
  • At 1st prenatal visit
  • HBsAg

The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit

20
Q

Hepatitis C virus infection in Adolescents & Adults (screening)

A
  • Age 18-79
  • HCV Ab –> PCR

The USPSTF recommends screening for hepatitis C virus (HCV) infection in adults aged 18 to 79 years.

21
Q

HIV (screening)

A
  • Age 15-65 / Pregnancy
  • HIV 1/2

The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk of infection should also be screened. See the Clinical Considerations section for more information about assessment of risk, screening intervals, and rescreening in pregnancy.

22
Q

Hypertension in adults without known hypertension (screening)

A

Office BP
• Confirm with outside clinical BP (ambulatory / home)
• Q3-5y @ age 18-39
• Q1y @ age > 40

The USPSTF recommends screening for hypertension in adults 18 years or older with office blood pressure measurement (OBPM). The USPSTF recommends obtaining blood pressure measurements outside of the clinical setting for diagnostic confirmation before starting treatment.

23
Q

Intimate Partner Violence, Elder Abuse, and Abuse of Vulnerable Adults (screening)

A
  • All women of reproductive age
  • Elderly

The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services.

24
Q

Latent TB infection (screening)

A

High risk
• born/reside in foreign country, TB exposure, congregate living
• Skin, IGA

The USPSTF recommends screening for latent tuberculosis infection (LTBI) in populations at increased risk.

25
Q

Low-Dose Aspirin Use for the Prevention of Morbidity and Mortality From Preeclampsia (prevention)

A

Pregnancy – high risk preeclampsia
• Prior history, muti-fetal gestation, chronic HTN, DM, Renal disease, Auto-immune disease
• Aspirin 81mg QD > 12w gestation

The USPSTF recommends the use of low-dose aspirin (81 mg/d) as preventive medication after 12 weeks of gestation in women who are at high risk for preeclampsia.

26
Q

Lung Cancer (screening)

A

Age 50-80
• Smoking > 20 ppy + [current smoker / quit < 15y ago]
• LDCT q1y
• Stop screen @ quit > 15y / Decreased life expectancy

27
Q

Obesity in Children & Adolescents (screening)

A

Age > 6y
• Behavioral interventions
• Promote to improve weight
• Obseity = BMI > 95%

The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.

28
Q

Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum (preventive medication)

A

• Erythromycin @ newborn

The USPSTF recommends prophylactic ocular topical medication for all newborns to prevent gonococcal ophthalmia neonatorum.

29
Q

Osteoporosis to prevent fracture (screening)

A

Female > 65
• Risk = hip fracture, smoking, alcohol, low weight
• DEXA

The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.

The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in postmenopausal women younger than 65 years who are at increased risk of osteoporosis, as determined by a formal clinical risk assessment tool.

30
Q

PeriNatal Depression (preventive interventions)

A
  • High risk depression post-partum
  • Prior depression, current symptoms, Low socio/economic, partner violence, mental health issue

The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.

31
Q

PreDiabetes & DM2 (screening)

A

Adult non-pregnant 35-75
• Overweight (BMI > 25), Obese (BMI > 30)
• Fasting glucose / OGTT / A1c
• Screen q3y

The USPSTF recommends screening for prediabetes and type 2 diabetes in adults aged 35 to 70 years who have overweight or obesity. Clinicians should offer or refer patients with prediabetes to effective preventive interventions.

32
Q

PreEclampsia (screening)

A

• BP measurements @ each prenatal visit

The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.

33
Q

HIV PreExposure Prophylaxis (prevention)

A
  • Offer PrEP HIV @ high risk
  • High risk = homosexual men, HIV exposure, IVDU

The USPSTF recommends that clinicians offer preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition.

34
Q

Rh D incompatibility (screening)

A
  • Rh D testing @ 1st prental visit
  • Repeat at 24-28w gestation (unless father Rh D neg)

The USPSTF strongly recommends Rh(D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care.

The USPSTF recommends repeated Rh(D) antibody testing for all unsensitized Rh(D)-negative women at 24 to 28 weeks’ gestation, unless the biological father is known to be Rh(D)-negative.

35
Q

STI (behavioral counseling)

A

All sexually active adolescent + High risk adults
• STI diagnosis within 1y, Inconsistent condom use, Multiple sexual partner
• Behavioral counseling

The USPSTF recommends behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections (STIs).

36
Q

Skin Cancer prevention (behavioral counseling)

A

6m-24 yo
• Fair skin (light hair, light eye, freckles, easy sunburn)
• Counseling (sunscreen, hats, sunglass, clothing, avoiding exposure)

The USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to ultraviolet (UV) radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer.

37
Q

Statin use for primary prevention of CVD in adults (preventive medication)

A

Statin use (all)
• Age 40-75
• 1+ CVD risk (DM, HTN, smoking, HLD)
• ASCVD > 10%

The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (ie, symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: 1) they are aged 40 to 75 years; 2) they have 1 or more CVD risk factors (ie, dyslipidemia, diabetes, hypertension, or smoking); and 3) they have a calculated 10-year risk of a cardiovascular event of 10% or greater.

38
Q

Syphilis Infection in non-pregnant adults & adolescents (screening)

A
  • Screen at high risk
  • Homo male living w/ HIV, incarceration, sex worker, male < 29

The USPSTF recommends screening for syphilis infection in persons who are at increased risk for infection.

39
Q

Syphilis Infection in pregnant women (screening)

A

• All pregnant female

The USPSTF recommends early screening for syphilis infection in all pregnant women.

40
Q

Tobacco smoking cessation (interventions)

A

All adults
• Advise to stop using tobacco
• Provide behavioral interventions
• Pharmacotherapy (nicotine, bupropion, varenicline)

The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and US Food and Drug Administration (FDA)–approved pharmacotherapy for cessation to nonpregnant adults who use tobacco.

41
Q

Tobacco use in children & adolescents (interventions)

A
  • Provide education, intervention, counseling
  • To prevent initiation of tobacco

The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents.

42
Q

Unhealthy alcohol use in adolescents & adults (screening & behavioral counseling interventions)

A
  • Screen All adults
  • Provide behavioral counseling

The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.

43
Q

Unhealthy drug use (screening)

A

• Screen all adults

The USPSTF recommends screening by asking questions about unhealthy drug use in adults age 18 years or older. Screening should be implemented when services for accurate diagnosis, effective treatment, and appropriate care can be offered or referred.

(Screening refers to asking questions about unhealthy drug use, not testing biological specimens.)

44
Q

Vision in Children (screening)

A

Age 3-5
• Vision screening x1+
• Check for amblyopia, strabismus

The USPSTF recommends vision screening at least once in all children aged 3 to 5 years to detect amblyopia or its risk factors.

45
Q

Weight loss to prevent obesity related morbidity & mortality in adults (behavioral interventions)

A
  • Adults BMI > 30+
  • Offer referral to behavioral health

The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions.