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Family Medicine > USPSTF A and B Recommendations > Flashcards

USPSTF A and B Recommendations Flashcards

1
Q

Abdominal aortic aneurysm screening: men

A

Men 65 to 75 years who have ever smoked:

One-time screening for AAA by US.
Do not screen women.

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2
Q

Alcohol misuse: screening and counseling

A

Adults 18 years or older:

Screen for alcohol misuse.
Provide brief behavioral counseling interventions to reduce alcohol misuse.

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3
Q

Aspirin preventive medication

A

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.

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4
Q

Bacteriuria screening: pregnant women

A

Pregnant women at 12 to 16 weeks’ gestation or at the first prenatal visit:

Screen for asymptomatic bacteriuria with urine culture.

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5
Q

Blood pressure screening: adults

A

Adults 18 years or older:

Screen for high blood pressure. Obtain measurements outside of the clinical setting for diagnostic confirmation before starting treatment.

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6
Q

BRCA risk assessment

and genetic counseling/testing

A

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.

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7
Q

Breast cancer preventive medications

A

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)

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8
Q

Breast cancer screening

A

Women 40 years and older:

Screening mammography +/- clinical breast examination, every 1 to 2 years.

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9
Q

Breastfeeding interventions

A

Provide interventions during pregnancy and after birth to support breastfeeding.

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10
Q

Cervical cancer screening

A

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.

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11
Q

Chlamydia screening: women

A

Sexually active women 24 years or younger
or older women who are at increased risk (get it grandma):

Screen for chlamydia.

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12
Q

Colorectal cancer screening

A

Adults 50 years to 75 years:

Screen for colorectal cancer. Schedule depends on type of screening tool.

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13
Q

Dental caries prevention: infants and children up to age 5 years

A

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.

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14
Q

Depression screening: adolescents

A

Adolescents aged 12 to 18 years:

Screen for MDD with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.

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15
Q

Depression screening: adults

A

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.

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16
Q

Diabetes screening

A

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.

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17
Q

Falls prevention: older adults

A

Community-dwelling adults 65 years or older who are at increased risk for falls:

Exercise interventions

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18
Q

Folic acid supplementation

A

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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19
Q

Gestational diabetes mellitus screening

A

Asymptomatic pregnant women after 24 weeks of gestation:

Screen for gestational diabetes mellitus

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20
Q

Gonorrhea prophylactic medication: newborns

A

All newborns:

Prophylactic ocular topical medication for the prevention of gonococcal ophthalmia neonatorum.

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21
Q

Gonorrhea screening: women

A

Sexually active women 24 years or younger
or older women who are at increased risk (get it grandma):

Screen for gonorrhea.

22
Q

Healthy diet and physical activity for adults with cardiovascular risk factors

A

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

23
Q

Hemoglobinopathies screening: newborns

A

All newborns:

Screen for sickle cell disease

24
Q

Hepatitis B screening: nonpregnant adolescents and adults

A

Any person at high risk for infection:

Screen for hepatitis B virus infection

25
Q

Hepatitis B screening: pregnant women

A

All pregnant women at first prenatal visit:

Screen for hepatitis B virus infection

26
Q

Hepatitis C virus infection screening: adults

A

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

27
Q

HIV screening: nonpregnant adolescents and adults

A

Adolescents and adults 15 to 65 years or those younger/older who are at increased risk:

Screen for HIV

28
Q

HIV screening: pregnant women

A

All pregnant women including those who present in labor who are untested/unknown HIV status:

Screen for HIV

29
Q

Hypothyrodism screening: newborns

A

All newborns:

Screen for congenital hypothyroidism.

30
Q

Intimate partner violence screening: women of childbearing age

A

All women of childbearing age:

Screen for intimate partner violence, including domestic violence.

Offer/ refer women with positive screen to intervention services.

31
Q

Lung cancer screening

A

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.

32
Q

Obesity screening and counseling: adults

A

All adults:

Screen for for obesity.
Offer/ refer patients with a BMI over 30 to intensive, multicomponent behavioral interventions.

33
Q

Obesity screening: children and adolescents

A

Children and adolescents 6 years and older:

Screen for for obesity.
Offer/ refer patients with a BMI over 30 to intensive, multicomponent behavioral interventions.

34
Q

Osteoporosis screening: women

A

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

35
Q

Phenylketonuria screening: newborns

A

All newborns:

Screen for phenylketonuria

36
Q

Preeclampsia prevention

A

Women at 12 weeks of gestation who are at high risk for preeclampsia:

Use low-dose aspirin (81 mg/d)

37
Q

Preeclampsia: screening

A

All pregnant women:

Screen for preeclampsia with blood pressure measurements throughout pregnancy.

38
Q

Rh incompatibility screening: pregnancy

A

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.

39
Q

Sexually transmitted infections counseling

A

Sexually active adolescents and adults and increased risk:

Intensive behavioral counseling.

40
Q

Skin cancer behavioral counseling

A

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.

41
Q

Statin preventive medication

A

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.

42
Q

Tobacco use counseling and interventions: nonpregnant adults

A

Nonpregnant adults:

Ask about tobacco use, advise to stop, provide behavioral interventions and approved pharmacotherapy for cessation.

43
Q

Tobacco use counseling: pregnant women

A

Pregnant women:

Ask about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation

44
Q

Tobacco use interventions: children and adolescents

A

School aged children and Adolescents:

Provide interventions, including education or brief counseling, to prevent initiation of tobacco use.

45
Q

Tuberculosis screening: adults

A

Persons at increased risk:

Screen

46
Q

Syphilis screening: nonpregnant persons

A

Persons at increased risk:

Screening for syphilis infection.

47
Q

Syphilis screening: pregnant women

A

Pregnant Women:

Screen for Syphilis

48
Q

Vision screening: children

A

Children 3 to 5:

vision screening at least once to detect amblyopia or its risk factors.

49
Q

Newborn recommendations

A

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
50
Q

Pregnancy recommendations

A

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.

Family Medicine (1 decks)

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