USPSTF A and B Recommendations Flashcards
Abdominal aortic aneurysm screening: men
The USPSTF recommends one-time screening for abdominal aortic aneurysm by ultrasonography in men ages 65 to 75 years who have ever smoked.
Grade B - June 2014
Aspirin preventive medication: adults aged 50 to 59 years with a ≥10% 10-year cardiovascular risk
The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease and colorectal cancer in adults aged 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.
Grade B - April 2016
Bacteriuria screening: pregnant women
The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons.
Grade B - September 2019
Blood pressure screening: adults
The USPSTF recommends screening for high blood pressure in adults aged 18 years or older. The USPSTF recommends obtaining measurements outside of the clinical setting for diagnostic confirmation before starting treatment.
Grade A - October 2015
BRCA risk assessment
and 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.
Grade B - August 2019
Breast cancer preventive medications
The USPSTF recommends that clinicians offer to prescribe risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors, to women who are at increased risk for breast cancer and at low risk for adverse medication effects.
Grade B - Sept 2019
Breast cancer screening
The USPSTF recommends screening mammography for women, with or without clinical breast examination, every 1 to 2 years for women age 40 years and older.
Grade B - sept 2002
Breastfeeding interventions
The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding.
Grade B - October 2016
Cervical cancer screening
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).
Grade A - August 2018
Chlamydia screening: women
The USPSTF recommends screening for chlamydia in sexually active women age 24 years or younger and in older women who are at increased risk for infection.
Grade B - September 2014
Colorectal cancer screening
The USPSTF recommends screening for colorectal cancer starting at age 50 years and continuing until age 75 years.
Grade A - June 2016
Dental caries prevention: infants and children up to age 5 years
The USPSTF recommends the application of fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption in primary care practices. The USPSTF recommends primary care clinicians prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is fluoride deficient.
Grade B - May 2014
Depression screening: adolescents
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.
Grade B - Feb 2016
Depression screening: adults
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.
Grade B - January 2016
Diabetes screening
The USPSTF recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese. Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity.
Grade B - October 2015
Falls prevention: older adults
The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls.
Grade B April 2018
Folic acid supplementation
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.
Grade A - January 2017
Gestational diabetes mellitus screening
The USPSTF recommends screening for gestational diabetes mellitus in asymptomatic pregnant women after 24 weeks of gestation.
Grade B Jan 2014
Gonorrhea prophylactic medication: newborns
The USPSTF recommends prophylactic ocular topical medication for all newborns to prevent gonococcal ophthalmia neonatorum
A January 2019*
Gonorrhea screening: women
The USPSTF recommends screening for gonorrhea in sexually active women age 24 years or younger and in older women who are at increased risk for infection.
B September 2014
Healthy diet and physical activity counseling to prevent cardiovascular disease: adults with cardiovascular risk factors
The USPSTF recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.
B August 2014*
Hemoglobinopathies screening: newborns
The USPSTF recommends screening for sickle cell disease in newborns.
A September 2007
Hepatitis B screening: nonpregnant adolescents and adults
The USPSTF recommends screening for hepatitis B virus infection in persons at high risk for infection.
B May 2014
Hepatitis B screening: pregnant women
The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit
A July 2019*
Hepatitis C virus infection screening: adults
The USPSTF recommends screening for hepatitis C virus (HCV) infection in persons at high risk for infection. The USPSTF also recommends offering one-time screening for HCV infection to adults born between 1945 and 1965.
B June 2013
HIV preexposure prophylaxis for the prevention of HIV infection
The USPSTF recommends that clinicians offer preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition.
A June 2019
HIV screening: adolescents and adults ages 15 to 65 years
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.
A June 2019*
HIV screening: pregnant women
The USPSTF recommends that clinicians screen for HIV infection in all pregnant persons, including those who present in labor or at delivery whose HIV status is unknown.
A June 2019*
Hypothyroidism screening: newborns
The USPSTF recommends screening for congenital hypothyroidism in newborns.
A March 2008
Intimate partner violence screening: women of reproductive age
The USPSTF recommends that clinicians screen for intimate partner violence in women of reproductive age and provide or refer women who screen positive to ongoing support services.
B October 2018
Lung cancer screening
The USPSTF recommends annual screening for lung cancer with low-dose computed tomography in adults ages 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued 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.
B December 2013
Obesity screening and counseling: adults
The USPSTF recommends that clinicians offer or refer adults with a body mass index of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions.
B September 2018
Obesity screening: children and adolescents
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.
B June 2017*
Osteoporosis screening: postmenopausal women younger than 65 years at increased risk of osteoporosis
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.
B June 2018
Osteoporosis screening: women 65 years and older
The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.
B June 2018*
Perinatal depression: counseling and interventions
The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.
B February 2019
Phenylketonuria screening: newborns
The USPSTF recommends screening for phenylketonuria in newborns.
B March 2008
Preeclampsia prevention: aspirin
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.
B September 2014
Preeclampsia: screening
The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.
B April 2017
Rh incompatibility screening: first pregnancy visit
The USPSTF strongly recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care.
A February 2004
Rh incompatibility screening: 24–28 weeks’ gestation
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.
B February 2004
Sexually transmitted infections counseling
The USPSTF recommends intensive behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.
B September 2004
Skin cancer behavioral counseling
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.
B March 2018*
Statin preventive medication: adults ages 40–75 years with no history of CVD, 1 or more CVD risk factors, and a calculated 10-year CVD event risk of 10% or greater
The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., 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 ages 40 to 75 years; 2) they have 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension, or smoking); and 3) they have a calculated 10-year risk of a cardiovascular event of 10% or greater. Identification of dyslipidemia and calculation of 10-year CVD event risk requires universal lipids screening in adults ages 40 to 75 years.
B November 2016*
Syphilis screening: nonpregnant persons
The USPSTF recommends screening for syphilis infection in persons who are at increased risk for infection.
A June 2016*
Syphilis screening: pregnant women
The USPSTF recommends early screening for syphilis infection in all pregnant women.
A September 2018
Tobacco use counseling and interventions: nonpregnant adults
The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)–approved pharmacotherapy for cessation to adults who use tobacco.
A September 2015*
Tobacco use counseling: pregnant women
The USPSTF recommends that clinicians ask all pregnant women about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant women who use tobacco.
A September 2015*
Tobacco use interventions: children and adolescents
The USPSTF recommends that clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents.
B August 2013
Tuberculosis screening: adults
The USPSTF recommends screening for latent tuberculosis infection in populations at increased risk.
B September 2016
Unhealthy alcohol use: adults
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.
B November 2018*
Vision screening: children
The USPSTF recommends vision screening at least once in all children ages 3 to 5 years to detect amblyopia or its risk factors.
B September 2017
