USPSTF A and B Recommendations Flashcards
Abdominal aortic aneurysm screening: men
Men 65 to 75 years who have ever smoked:
One-time screening for AAA by US.
Do not screen women.
Alcohol misuse: screening and counseling
Adults 18 years or older:
Screen for alcohol misuse.
Provide brief behavioral counseling interventions to reduce alcohol misuse.
Aspirin preventive medication
Adults 50 to 59 years who have a 10% or greater 10-year cardiovascular 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.:
Start low-dose aspirin for primary prevention of CVD and colorectal cancer.
Bacteriuria screening: pregnant women
Pregnant women at 12 to 16 weeks’ gestation or at the first prenatal visit:
Screen for asymptomatic bacteriuria with urine culture.
Blood pressure screening: adults
Adults 18 years or older:
Screen for high blood pressure. Obtain measurements outside of the clinical setting for diagnostic confirmation before starting treatment.
BRCA risk assessment
and genetic counseling/testing
Women who have family members with breast, ovarian, tubal, or peritoneal cancer:
Use screening tool to identify a FHx that may be associated with an increased risk for mutations in BRCA1 or BRCA2.
If positive screen: provide genetic counseling and BRCA testing.
Breast cancer preventive medications
Women who are at increased risk for breast cancer and at low risk for adverse medication effects:
Offer to prescribe risk-reducing medications, such as tamoxifen or raloxifene. (use shared, informed decision making)
Breast cancer screening
Women 40 years and older:
Screening mammography +/- clinical breast examination, every 1 to 2 years.
Breastfeeding interventions
Provide interventions during pregnancy and after birth to support breastfeeding.
Cervical cancer screening
Women 21 to 65 years:
Screen for cervical cancer with cytology (pap smear) every 3 years.
Women 30 to 65 years can screen with a combination of cytology and human papillomavirus (HPV) testing every 5 years.
Chlamydia screening: women
Sexually active women 24 years or younger
or older women who are at increased risk (get it grandma):
Screen for chlamydia.
Colorectal cancer screening
Adults 50 years to 75 years:
Screen for colorectal cancer. Schedule depends on type of screening tool.
Dental caries prevention: infants and children up to age 5 years
All infants and children at age of primary tooth eruption:
Application of fluoride varnish to the primary teeth
Children 6 months whose water supply is fluoride deficient:
Prescribe oral fluoride supplementation.
Depression screening: adolescents
Adolescents aged 12 to 18 years:
Screen for MDD with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.
Depression screening: adults
General adult population, including pregnant and postpartum women:
Screen for MDD with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.
Diabetes screening
Adults 40 to 70 years who are overweight or obese:
Screen for abnormal blood glucose as part of CV risk assessment.
Refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity.
Falls prevention: older adults
Community-dwelling adults 65 years or older who are at increased risk for falls:
Exercise interventions
Folic acid supplementation
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 mellitus screening
Asymptomatic pregnant women after 24 weeks of gestation:
Screen for gestational diabetes mellitus
Gonorrhea prophylactic medication: newborns
All newborns:
Prophylactic ocular topical medication for the prevention of gonococcal ophthalmia neonatorum.
Gonorrhea screening: women
Sexually active women 24 years or younger
or older women who are at increased risk (get it grandma):
Screen for gonorrhea.
Healthy diet and physical activity for adults with cardiovascular risk factors
Adults who are overweight or obese and have additional CVD risk factors:
Offer/ Refer to intensive behavioral counseling interventions to promote a healthful diet and physical activity
Hemoglobinopathies screening: newborns
All newborns:
Screen for sickle cell disease
Hepatitis B screening: nonpregnant adolescents and adults
Any person at high risk for infection:
Screen for hepatitis B virus infection
Hepatitis B screening: pregnant women
All pregnant women at first prenatal visit:
Screen for hepatitis B virus infection
Hepatitis C virus infection screening: adults
Any person at high risk for infection:
Screen for hepatitis C virus infection
Adults born between 1945 and 1965:
One-time screening for HCV infection
HIV screening: nonpregnant adolescents and adults
Adolescents and adults 15 to 65 years or those younger/older who are at increased risk:
Screen for HIV
HIV screening: pregnant women
All pregnant women including those who present in labor who are untested/unknown HIV status:
Screen for HIV
Hypothyrodism screening: newborns
All newborns:
Screen for congenital hypothyroidism.
Intimate partner violence screening: women of childbearing age
All women of childbearing age:
Screen for intimate partner violence, including domestic violence.
Offer/ refer women with positive screen to intervention services.
Lung cancer screening
Adults55 to 80 years with a 30 pack-year smoking history, who currently smoke or have quit within the past 15 years:
Screen for lung cancer with low-dose CT.
Discontinue screening once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.
Obesity screening and counseling: adults
All adults:
Screen for for obesity.
Offer/ refer patients with a BMI over 30 to intensive, multicomponent behavioral interventions.
Obesity screening: children and adolescents
Children and adolescents 6 years and older:
Screen for for obesity.
Offer/ refer patients with a BMI over 30 to intensive, multicomponent behavioral interventions.
Osteoporosis screening: women
Women age 65 years and older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional risk factors:
Screen for osteoporosis
Phenylketonuria screening: newborns
All newborns:
Screen for phenylketonuria
Preeclampsia prevention
Women at 12 weeks of gestation who are at high risk for preeclampsia:
Use low-dose aspirin (81 mg/d)
Preeclampsia: screening
All pregnant women:
Screen for preeclampsia with blood pressure measurements throughout pregnancy.
Rh incompatibility screening: pregnancy
All pregnant women at first prenatal visit:
Rh (D) blood typing and antibody testing.
All unsensitized Rh (D)- negative pregnant women 24 to 28 weeks’ gestation, unless the biological father is known to be Rh (D)-negative:
Repeated Rh (D) antibody testing.
Sexually transmitted infections counseling
Sexually active adolescents and adults and increased risk:
Intensive behavioral counseling.
Skin cancer behavioral counseling
Young children - Young adults and parents (6 months - 24 yrs w/ fair skin types):
counseling 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.
Statin preventive medication
Adults 40-75 years with 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension, or smoking)
and calculated 10 yr CVD event of 10% or greater:
Use a low- to moderate-dose statin.
Requires universal lipids screening in adults ages 40 to 75 years.
Tobacco use counseling and interventions: nonpregnant adults
Nonpregnant adults:
Ask about tobacco use, advise to stop, provide behavioral interventions and approved pharmacotherapy for cessation.
Tobacco use counseling: pregnant women
Pregnant women:
Ask about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation
Tobacco use interventions: children and adolescents
School aged children and Adolescents:
Provide interventions, including education or brief counseling, to prevent initiation of tobacco use.
Tuberculosis screening: adults
Persons at increased risk:
Screen
Syphilis screening: nonpregnant persons
Persons at increased risk:
Screening for syphilis infection.
Syphilis screening: pregnant women
Pregnant Women:
Screen for Syphilis
Vision screening: children
Children 3 to 5:
vision screening at least once to detect amblyopia or its risk factors.
Newborn recommendations
All newborns:
- Prophylactic ocular topical medication for the prevention of gonococcal ophthalmia neonatorum.
- Screen for sickle cell disease.
- Screen for congenital hypothyroidism.
- Screen for phenylketonuria
Pregnancy recommendations
All pregnant women:
- Screen for MDD.
- Screen for Syphilis
- Screen for HIV
- Screen for HBV
- Screen for gestational DM
- Screen for asymptomatic bacteriuria with urine culture.
- Ask about tobacco use, advise them to stop and provide behavioral interventions for cessation.
- Rh (D) blood typing and antibody testing.
- Screen for preeclampsia with BP measurements.
- Take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid. (including women who are capable of becoming pregnant).
- Provide interventions to support breastfeeding
All unsensitized Rh (D)- negative pregnant women 24 to 28 weeks’ gestation, unless the biological father is known to be Rh (D)-negative:
-Repeated Rh (D) antibody testing.
