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USPSTF > USPSTF A and B Recs > Flashcards

USPSTF A and B Recs Flashcards

1
Q

AAA Screening Men

A

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.

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2
Q

ETOH misuse

A

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.

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3
Q

ASA for primary Prevention

A

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.

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4
Q

BRCA risk Assessment and Genetic Counseling

A

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.

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5
Q

Breast CA preventative medications

A

Grade - B

TLDR - shared decision making w/ increased risk women about tamox or ralox

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6
Q

Breast Cancer Screening

A

Grade - B

TLDR - Mammo q2 50-74 (B) before 50 (c). Women BSE (D), CBE (I)

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7
Q

Breastfeeding interventions

A

Evidence - B

TLDR - interventions during and after preg.

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8
Q

Chlamydia Screeening Women

A

Evicence - B

TLDR - 24 or younger. Older at high risk.

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9
Q

Dental Caries prevention of children up to 5

A

Evicence - B

TLDR - fluoride varnish starting at primary tooth eruption. Rx of fluoride if none in water.

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10
Q

Depression Screening adults

A

Evicence - B

TLDR - Screen w/ adequate f/u.

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11
Q

Depression Screening Adolescents

A

Evicence - B

TLDR - Screen 12-18 w/ adequate f/u

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12
Q

DM screening

A

Evicence - B

TLDR - 40-70 if overweight. Refer for intensive behavioral counseling –> diet and exercise

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13
Q

Falls prevention in older adults

A

Evicence - B

TLDR - Exercise or PT for community dwelling >65 at increased risk. Plus supplement Vit D.

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14
Q

Gestational DM

A

Evicence - B

TLDR - After 24weeks

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15
Q

Gonorrhea Screening women

A

Evicence - B

TLDR - Sexually active < 24; older if at high risk

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16
Q

Healthy diet and exercise to prevent CAD in adults w/ CAD risk factors

A

Evicence - B

TLDR - Refer high risk to intensive behave counseling on diet and exercise

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17
Q

Hearing loss newborns

A

Evicence - B

TLDR - Do for all

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18
Q

Hep B ]

A

Evicence - A,B

TLDR - All pregnant women (A) others only if high risk (B)

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19
Q

Hep C Screen

A

Evicence - B

TLDR - In those born 1945-65. Others if at high risk.

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20
Q

IPV in women of childbearing age

A

Evicence - B

TLDR - Screen and refer for everyone

21
Q

Lung CA

A

Evicence - B

TLDR - Annual Low Dose CT if 55-80 and 30 pack years if smoking or until has quit for 15years.

22
Q

Obesity Screening and Counseling

A

Evicence - B

TLDR - Screen everyone over 6 y.o. and refer those with BMI > 30 for counseling.

23
Q

Osteoporosis

A

Evicence - B

TLDR - Women >65 and younger if risk = 65 y.o. white woman.

24
Q

PKU Screen

A

Evicence - B

TLDR - All newborns

25
Q

PreEcclampsia Screening

A

Evicence - B

TLDR - Screen with BP throughout pregnancy.

26
Q

Preecclampsia prevention

A

Evicence - B

TLDR - 81 of ASA at 12 weeks for those at high risk.

27
Q

RH incompatibility

A

Evicence - A,B

TLDR - Screen all at first visit (A); Repeat for unsensitized at 24-28 (B)

28
Q

STI counseling

A

Evicence - B

TLDR - Counsel those at high risk

29
Q

Skin Cancer behave counseling

A

Evicence - B

TLDR - 10-24 yo w/ fair skin about minimizing UV exposure

30
Q

Statins

A

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)

31
Q

TB Screening in adults

A

Grade: B

TLDR - at high risk

32
Q

Visual Acuity Screening in Children

A

Grade: B

TLDR - at least once 3-5 years to detect amblyopia or risk factors.

33
Q

Bacturia Screening in Pregnant Women

A

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.)

34
Q

BP Screening

A

Grade - A

TLDR - Everyone > 18. Check outpatient before rx.

35
Q

Cervical CA

A

Grade - A

TLDR - 21-29 q3; 30-65 q3 or q5 w/ co

36
Q

CRC Screen

A

Grade - A

TLDR - Start at 50. No defined modality (FOB q1, FITq1, FIT dna q3 Colo q10, Flex sig q5, CT colonography q5, etc.)

37
Q

Folic Acid Supplementation

A

Grade - A

TLDR - Childbearing women 0.4-0.8mg

38
Q

Gonorrhea PPx Newborns

A

Grade - A

TLDR - Do it. (Erythromycin; also can use doxy, povidone iodide, or silver nitrate)

39
Q

Hemoglobinopathies screening in newborns

A

Grade - A

The USPSTF recommends screening for sickle cell disease in newborns

40
Q

HIV Screening

A

Grade - A

TLDR - 15-65 x 1 + PRN + All Pregnant women

41
Q

Hypothroidism screening in newborns

A

Grade - A

The USPSTF recommends screening for congenital hypothyroidism in newborns.

42
Q

RH incompatability

A

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.

43
Q

Tobacco use counseling

A

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)

44
Q

Syphyllis Screening

A

Grade - A, A

TLDR: Screen increased risk and all pregnant women.

45
Q

Grade A Definition

A

The USPSTF recommends the service. There is high certainty that the net benefit is substantial.

46
Q

Grade B Definition

A

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.

47
Q

Grade C Definition

A

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.

48
Q

Grade D Definition

A

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.

49
Q

Grade I Definition

A

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.

USPSTF (2 decks)

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