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Family Medicine > USPSTF > Flashcards

USPSTF Flashcards

1
Q

AAA

A

One time screening men 65 to 75 who have ever smoked

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2
Q

Aspirin

A

Primary prevention of CVD and CRC age 50 to 59 with 10% or greater ASCVD score, no bleeding risk, will live for 10 years, will take med for 10 years

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3
Q

BRCA related risk

A

For patients with personal or family hx of breast Gyn CA or susceptibility to BRCA1/2 should be have risk assessment tool.
If positive, Genetic counseling and then genetic testing

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4
Q

Breast CA meds to reduce risk

A

Age 35 years and older tamoxifen (premenopausal) and raloxifene (post menopausal) or aromatase inhibitor to lower risk od CA

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5
Q

Breast CA screening

A

Biennial age 50 to 74

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6
Q

Cervical CA

A

21 to 29: cytology Q3 years

30 to 65: cytology Q3 years or cytology and HPV Q5 years

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7
Q

GC/chlam

A

Screen ALL sexually active females less than 24

Screen high risk females greater than 25

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8
Q

Colorectal

A

Screen 45 to 49 years (B)

Screen 50 to 75 years (A)

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9
Q

Dental caries

A

Screen from birth to 5 years

Oral flouride supplementation starting at 6 months if flouride deficient water

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10
Q

Depression

A

Screen all adults, pregnant and postpartum for depression, frequency not specified

Screen for MDD in ages 12 to 18, frequency not specified

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11
Q

Falls

A

Exercise intervention for community dwelling 65 and older or those with increased risk of falls

Group or individual PT

Balance training 3 days or more per week

150 mins per week of moderate intensity or 75 mins of vigorous intensity and muscle training activity 2 times per week

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12
Q

Gestational DM

A

Screen 24 weeks or after

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13
Q

CVD risk prevention

A

Behavioral counseling for healthy diet and physical activity

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14
Q

Pregnancy weight

A

Offer behavioral counseling

Underweight: upto 28 to 40 lbs
Normal: 25 to 35 lbs
Overweight: 15 to 25 lbs
Obese: 11 to 20 lbs

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15
Q

Hep B screening

A
  • first prenatal visit
  • Adults and adolescents with high risk:

Born in countries where HbSAg prevelance is 2% or greater

Injection drug users

MSM

HIV and sex partners

Needle sharing contacts

Household contacts of those with HBSAg positive

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16
Q

Hep C

A

18 to 79 years

17
Q

HIV

A

All Pregnant or in labor

15 to 65 or anyone at risk

18
Q

BP

A

Screen 18 + at office

Annual screening for 40+ with high risk (black, overweight)

Q3 to 5 years 18 to 39 with no risk factors

Obtain outside BP measurement before starting treatment

19
Q

Intimate violence

A

Screen women of reproductive age

Screening tests:

HARK: Humiliation, afraid, rape, kick
HITS: hurt, insult, threaten, scream
E-HITS: Extended HITS
PVS: Partner violence screen
WAST: women abuse screening tool
20
Q

Screening for Latent TB

A

For high risk individuals

With TST or IGRA

21
Q

Preeclampsia

A

Baby aspirin for women with high risk of preeclampsia from 12 weeks of gestation

Screen for preeclampsia at each prenatal visit with BP

Risk factors for preeclampsia: 
Previous hx
Previous adverse pregnancy
Maternal DM htn renal or autoimmune dz
Multifetal gestation
Nulliparity
Obesity 
Blacks
Poor
Advance maternal age

Dx:
Bp > 140/90 on 2 occasions 4 hrs apart after 20 weeks
And
Proteinuria > 300 on 24 hr urine
Or
Thrombocytopenia, renal insuff, abnormal LFTs, pulm edema, cerebral/visual sx

22
Q

Lung CA screening

A

Low dose CT
50 to 80
20 pack year hx
Quit within 15 years

23
Q

Obesity pediatrics

A

6 + years

Behavioral counseling

24
Q

Ocular GC prevention

A

Erythromycin to prevent gonococcal ophthalmia neonatorum in newborns

25
Q

Osteoporosis

A

Screen 65+ women with BMD

Screen postmenopausal women less than 65 based on clinical risk assessment tool (eg FRAX)

Risk factors: 
Parental hx of hip fx
Smoking
Excessive alcohol use
Low body weight
  • 1 in 3 men with hip fx will die within a year*
  • use FrAX: based on comparison of average acore of a 65 year old white woman with no risk factors. If higher, then screen*
26
Q

DM screening

A

35 to 70 years who are overweight or obese every 3 years

27
Q

PrEP

A

For high risk:

MSM or heterosexual with one of:
Serodiscordant sex partner or partner with injection drug use hx
Inconsistent condom use
STI within past 6 months

Drug injectors with one of:
Above parameters
Shared needles

tenofovir and emtricitabine once daily

28
Q

Rh D incompatibility

A

Screen for all at first prenatal care

Rescreen Rh D negative women at 24 to 28 weeks u less dad is also Rh D negative

29
Q

STI behavioral counseling

A

For all high risk adolescents and adults

30
Q

Skin cancer prevention

A

Counsel 6 months to 24 years fair skinned to minimize UV Exposure

C rating for counseling for over 24 years

31
Q

Statin Use

A

Hx of CVD use low/moderate statin if all are pos:

40 to 75 years
1 or more cvd risk factor (chol, htn, dm, smoking)
Calculated ascvd score > or equal to 10%

32
Q

Syphillis screening

A

Screening in those with increased risk and all pregnant women

33
Q

Tobacco cessation counseling and intervention

A

In all patients school age children to adults pregnant and non pregnant

34
Q

Alcohol and drug use screening

A

All adults 18 +

35
Q

Vision screening pediatrics

A

3 to 5 to detect amblyopia

36
Q

Obesity

A

Adults with BMI > 30 need multicomponent behavioral intervention

37
Q

I recommendations

Insufficient evidence

A

Insufficient evidence to screen for chlamydia and gonorrhea in men

Insufficient evidence to screen for gestational diabetes and pregnant patients before 24 weeks

Insufficient evidence the screen for vitamin D deficiency

Insufficient evidence to screen for hearing loss in older adults

Insufficient evidence for pharmacotherapy for tobacco cessation and pregnant patients

Insufficient evidence to assess benefits in harms of electronic cigarettes

Insufficient evidence for screening of hypertension in children

Insufficient evidence to screen for drug use and children

Insufficient evidence to screen for cognitive impairment in older adults

Insufficient evidence to screen for AAA in women with risk factors

Insufficient evidence to screen for blood blood levels and children and pregnant patients

Insufficient evidence to screen for atrial fibrillation with echocardiograph

Insufficient evidence to screen for PAD with ABI

Insufficient evidence to screen for CVD in asymptomatic patients with a ABI or CRP or calcium score

Insufficient evidence to screen for osteoporosis in men

38
Q

D recommendations

More harm than good

A

Do not screen for coronary artery stenosis

Do not screen for BV in pregnant patients with no risk for preterm delivery

Do not screen for AAA and women with no risk factors

Do not screen for bacteriuria in asymptomatic non-pregnant patient

Do not screen for pancreatic, ovarian, thyroid or testicular cancer

Do not screen with EKG for CVD in asymptomatic patients

Do not screen four prostate cancer with PS a for
and 70 and older

Do not screen for genital herpes in any patient

Do not use estrogen alone or combined estrogen and progesterone for chronic conditions in postmenopausal women

39
Q

C recommendations

Shared decision making

A

Screening for colorectal cancer from age 76 to 85

Screening for AAA and men yes 65 to 75 who have never smoked

Screening with PSA for prostate cancer in men 55 to 69

Screening for breast cancer between ages 40 and 49

Counseling two adults 24 years and older with fair skin to minimize exposure to UV radiation

Statin used in patients with a ASCVD score 7.5 to 10%

Aspirin use in patients 60 to 69 years

Family Medicine (4 decks)

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