USPSTF Flashcards

0
Q

Breast cancer screen

A

B rec.

F, age 50-74, mmgm, q2yrs

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1
Q

Factors considered by USPSTF making screening recommendations?

A

The USPSTF considers:

  1. the Burden of suffering from the target conditions
  2. Accuracy of screening test
  3. Benefits of screening compared with harms.

Cost, cost effectiveness, insurance coverage, and liability are NOT considered.

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2
Q

Cervical cancer

A

A rec

F, 21-65, q3yrs pap
F, 30-65, q5yrs pap+HPV, optional

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3
Q

Colorectal cancer

A
A rec
Age 50-75 
colonoscopy q10yrs, or
Annual high sensitivity stool test, or
Sigmoidoscopy q5yrs
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4
Q

Prostate cancer

A

D rec

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5
Q

Lung cancer

A
B rec
Low dose CT
Annual
55-80
30 pack year
Current smoker
Or have quit<15 years
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6
Q

Cancer screening with “D” rec

A

Ovarian
Prostate
Pancreatic
Testicular

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7
Q

Counseling
Tabasco cessation
- ask all adults about use and provide tobacco cessation intervention
- screening all pregnant women for tobacco use and provide counseling

A

A rec

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8
Q

Counseling

- 10-24 yrs old with fair skin to minimized exposure to UV radiation

A

B rec

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9
Q

Beta-carotene supplements to prevent cancer or cardiovascular disease

A

D rec

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10
Q

Cardiovascular disease screening

Abd aortic aneurysm

A

Men ever smoked, 65-75 yrs, 1 time screen with U/S

- B Rex

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11
Q

Cardiovascular disease screening

High blood pressure screening

A

At 18 or older

A rec

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12
Q

Lipid screening

M = or > 35

A

A rec

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13
Q

Lipid screening

Female

A

At increased risk
= or > 45, A rec
20-45, B rec

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14
Q

Aspirin prevention

A
  1. M, 45-79, for MI prevention if low risk of GI bleeding –A rec
  2. F, 55-79, for ischemic stroke prevention if low risk of GI bleeding –A rec
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15
Q

Intensive behavioral dietary counseling for pt with hyperlipemia and other risk factors for CVD, diet related chronic diseases

A

B rec

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16
Q

Alcohol misuse in adults

- screen and counsel adults to reduce alcohol misuse with brief behavior counseling intervention

A

B rec

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17
Q

Depression screening, counseling adult and adolescent (12-18) with depression support system

A

B rec

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18
Q

Screening obesity in adult

A

B rec

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19
Q

Screening obesity in children 6 or older

A

B rec

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20
Q

Intensive counseling and behavioral intervention for adults and children for obesity

A

B rec

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21
Q

Type 2 DM screening in asymptomatic adults with Bp>135/80

22
Q

STI counseling
High intensity behavioral counseling
- Sexually active adolescents

23
Q

STI counseling
High intensity behavioral counseling
- adults at increased risk

24
Q

Injury and violence screening for women of childbearing age for intimate partner violence

25
Q

Exercises and physical therapy and vitamin D in 65 or older, for prevention of fall in community-dwelling older adults

26
Q

Osteoporosis
F, 65 or older or
Younger than 65 with risk factors

27
Q

Visual screening

3-5 year old, one time screening for amblyopia

28
Q

Hearing screening

New born infant

29
Q

Chlamydia
F, 24 or younger, sexually active or
25 or older, with increased risk

30
Q

Gonorrhea

F, sexually active, at increased risk

31
Q

Chlamydia and gonorrhea for men

32
Q

HIV screening

  • 15-65 yrs
  • Younger adolescents and older adults at increased risk for HIV
33
Q

Syphilis

All M & F at increased risk

34
Q

Hep B

Men and non-pregnant women

35
Q

Hep C

  • at increased risk
  • one time screening for those born in 1946-1965
36
Q

HCV risk

A

Hz of blood transfusion before 1992

37
Q

Pregnant women screening

  • Bacteriuria
    • asymptomatic, 12-16 wks gestation
38
Q

Pregnant women screening

- syphilis

39
Q

Pregnant women screening

- hep B at 1st prenatal visit

40
Q

Pregnant women screening

- HIV

41
Q

Pregnant women screening

- chlamydia

42
Q

Pregnant women screenin

- Rh incompatibility

A

1st prenatal visit –A rec

Repeat at 24-28 wk–B rec

43
Q

Pregnant women screening

- iron-deficiency anemia

44
Q

Pregnant women screening

- tobacco use

45
Q

Pregnant women screening

- alcohol misuse

46
Q

Pregnant women screening

- breast feeding rec

47
Q

Pregnant women screening

- folic acid supplementation

48
Q

Infant screening

A
  1. Congenital hypothyroidism - A rec
  2. Phenylketonuria - A rec
  3. Sickle cell disease - A rec
  4. Hearing screening - B rec
49
Q

Infant preventive medication

- prophylactic ocular topical medication to prevent gonococcal ophthalmia neonatorum

50
Q

Infant preventive medication

- Iron supplementation for infants 6-12 month at increased risk for iron deficiency

51
Q

Cancer screening with “ I” rec

A
  1. Skin cancer
  2. Bladder cancer
  3. Oral cancer
52
Q

Abdominal Aortic Aneurysm screening

- make ever smoked, 65-75 yrs. one time screening