USPSTF A and B Recs Flashcards
AAA Screening Men
Grade - B
TLDR - US for 65-75 men who smoke
The USPSTF recommends one-time screening for abdominal aortic aneurysm by ultrasonography in men ages 65 to 75 years who have ever smoked.
ETOH misuse
Grade - B
TLDR - Screen 18+, behave intervention
The USPSTF recommends that clinicians screen adults age 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce alcohol misuse.
ASA for primary Prevention
Grade - B
TLDR - 50-59 w/ 10% ASCVD. 10yr & 10yr. No increase bleed risk. (CAD and CRC)
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.
BRCA risk Assessment and Genetic Counseling
Grade - B
TLDR - Screen women for family members with breast, ovary, tubal, or peritoneal CA. If so gen counseling.
The USPSTF recommends that primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.
Breast CA preventative medications
Grade - B
TLDR - shared decision making w/ increased risk women about tamox or ralox
Breast Cancer Screening
Grade - B
TLDR - Mammo q2 50-74 (B) before 50 (c). Women BSE (D), CBE (I)
Breastfeeding interventions
Evidence - B
TLDR - interventions during and after preg.
Chlamydia Screeening Women
Evicence - B
TLDR - 24 or younger. Older at high risk.
Dental Caries prevention of children up to 5
Evicence - B
TLDR - fluoride varnish starting at primary tooth eruption. Rx of fluoride if none in water.
Depression Screening adults
Evicence - B
TLDR - Screen w/ adequate f/u.
Depression Screening Adolescents
Evicence - B
TLDR - Screen 12-18 w/ adequate f/u
DM screening
Evicence - B
TLDR - 40-70 if overweight. Refer for intensive behavioral counseling –> diet and exercise
Falls prevention in older adults
Evicence - B
TLDR - Exercise or PT for community dwelling >65 at increased risk. Plus supplement Vit D.
Gestational DM
Evicence - B
TLDR - After 24weeks
Gonorrhea Screening women
Evicence - B
TLDR - Sexually active < 24; older if at high risk
Healthy diet and exercise to prevent CAD in adults w/ CAD risk factors
Evicence - B
TLDR - Refer high risk to intensive behave counseling on diet and exercise
Hearing loss newborns
Evicence - B
TLDR - Do for all
Hep B ]
Evicence - A,B
TLDR - All pregnant women (A) others only if high risk (B)
Hep C Screen
Evicence - B
TLDR - In those born 1945-65. Others if at high risk.
IPV in women of childbearing age
Evicence - B
TLDR - Screen and refer for everyone
Lung CA
Evicence - B
TLDR - Annual Low Dose CT if 55-80 and 30 pack years if smoking or until has quit for 15years.
Obesity Screening and Counseling
Evicence - B
TLDR - Screen everyone over 6 y.o. and refer those with BMI > 30 for counseling.
Osteoporosis
Evicence - B
TLDR - Women >65 and younger if risk = 65 y.o. white woman.
PKU Screen
Evicence - B
TLDR - All newborns
PreEcclampsia Screening
Evicence - B
TLDR - Screen with BP throughout pregnancy.
Preecclampsia prevention
Evicence - B
TLDR - 81 of ASA at 12 weeks for those at high risk.
RH incompatibility
Evicence - A,B
TLDR - Screen all at first visit (A); Repeat for unsensitized at 24-28 (B)
STI counseling
Evicence - B
TLDR - Counsel those at high risk
Skin Cancer behave counseling
Evicence - B
TLDR - 10-24 yo w/ fair skin about minimizing UV exposure
Statins
Evicence - B
TLDR - Adults w/o CAD use low to moderate if 40-75 and have a CAD risk factor and a ASCVD risk of 10% w/ low (simva 10, prava 10-20, lova 20) to moderate(Atorva 10-20; Rosuva 5-10; Simva 20-40; prava 40-80; lova 40)
*Note AHA/ACC is 7.5% risk; LDL >190; or DM w/ LDL of 70-190. With moderate (Atorva 10-20; Rosuva 5-10; Simva 20-40; prava 40-80; lova 40) to high intensity. Secondary prevention with high intensity (Atorva 40-80 and rosuva 20-40)
TB Screening in adults
Grade: B
TLDR - at high risk
Visual Acuity Screening in Children
Grade: B
TLDR - at least once 3-5 years to detect amblyopia or risk factors.
Bacturia Screening in Pregnant Women
Grade - A
TLDR - 12-16 weeks or first visit. (Preg abx options include Cephalexin 250 BID, Amox/Clav 250 QID; Fosfomycin 3g x 1, Nitrofurantoin (50-100 QID); eryhtromycin (250-500 QID) all class B. TMP/SMX (160/180 BID okay in 1st and second trimester.)
BP Screening
Grade - A
TLDR - Everyone > 18. Check outpatient before rx.
Cervical CA
Grade - A
TLDR - 21-29 q3; 30-65 q3 or q5 w/ co
CRC Screen
Grade - A
TLDR - Start at 50. No defined modality (FOB q1, FITq1, FIT dna q3 Colo q10, Flex sig q5, CT colonography q5, etc.)
Folic Acid Supplementation
Grade - A
TLDR - Childbearing women 0.4-0.8mg
Gonorrhea PPx Newborns
Grade - A
TLDR - Do it. (Erythromycin; also can use doxy, povidone iodide, or silver nitrate)
Hemoglobinopathies screening in newborns
Grade - A
The USPSTF recommends screening for sickle cell disease in newborns
HIV Screening
Grade - A
TLDR - 15-65 x 1 + PRN + All Pregnant women
Hypothroidism screening in newborns
Grade - A
The USPSTF recommends screening for congenital hypothyroidism in newborns.
RH incompatability
TLDR- All women, first visit (A) Retest at risk at 24-28 (B)
The USPSTF strongly recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care.
Grade B: 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.
Tobacco use counseling
Grade - A, A, B
TLDR- Ask everyone. If + Behaviorl counseling for everyone+ Rx (varencycline vs. buproprion +/- NRT if nonpregnant adult (level A)
Counsel adolescents to prevent intiation (B)
Syphyllis Screening
Grade - A, A
TLDR: Screen increased risk and all pregnant women.
Grade A Definition
The USPSTF recommends the service. There is high certainty that the net benefit is substantial.
Grade B Definition
The USPSTF recommends the service. There is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial.
Grade C Definition
Note: The following statement is undergoing revision.
Clinicians may provide this service to selected patients depending on individual circumstances. However, for most individuals without signs or symptoms there is likely to be only a small benefit from this service.
Grade D Definition
The USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits.
Grade I Definition
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined.
