USPSTF A&B Flashcards
FM shelf
Abdominal aortic aneurysm (AAA) screening in men? When? Category?
B
- 65 - 75yrs
- ever smoked
- 1x screen for AAA w/ US
Aspirin preventive medication? Age group? Category?
B
- initiate low-dose aspirin for CVD and colorectal cancer prevention.
- 50 - 59 years:
1) a 10% or greater 10-year cardiovascular risk,
2) are not at increased risk for bleeding,
3) have a life expectancy of at least 10 years,
4) and are willing to take low-dose aspirin daily for at least 10 years.
Aspirin preventive medication is for which demographic? Category?
B
- 50 to 59 years w/:
1) a 10% or greater 10-year CVD risk,
2) are not at increased risk for bleeding,
3) have a life expectancy of at least 10 years,
4) and are willing to take low-dose aspirin daily for at least 10 years.
Bacteriuria screening in pregnant women? When? Category?
A
- screen with urine culture in preggo women:
1) 12 to 16 wks gestation or
2) at the first prenatal visit
High BP screening in adults? Category?
A
- 18+
- Dx confirmation need high BP reading at home b4 starting tx.
- Dx also needs 2 consecutive high BPs reading, separated by 2 weeks
BRCA risk assessment and genetic counseling/testing? Category?
B
- PCPs screen women w/ FHx of breast, ovarian, tubal, or peritoneal cancer
- (+) screened women get genetic counseling and BRCA testing if needed.
Breast cancer (BC) preventive medications? Category?
B
- women at incr risk for BC, should be informed by clinician about Rx (tamoxifen and raloxifene) that can reduce their risk.
- women with incr risk for BC AND low risk for adverse Rx rxn, should be offered risk-reducing Rx,
Breast cancer screening? Category?
B
- 50 yrs every 2 years with mammography (w/ or w/o breast exam)
- (ACOOG) 40 and older
Breastfeeding interventions? Category?
B
- During pregnancy and after birth, educate and give support to breastfeeding.
Cervical cancer screening? Category?
A
1) 21 q 3 pap smears (cervical cytology)
2) 30 - 65 years, can lengthen screening to every 5 years if do pap smears with HPV testing (high-risk HPV - hrHPV)
3) Stop testing at 65, if had 3 consecutive (-) pap smears.
Chlamydia screening in women? Category?
B
- sexually active 24 years or younger
- older women @ high risk
Colorectal cancer screening? When to start/stop? Category?
A
- 50 - 75 years
- q 10 years w/ colonoscopy
- q 5 years flex sigmoidscopy
- q 3 years flex sigmoidoscopy + fecal occult blood test
- q 1 fecal occult blood test
Dental caries prevention? Category?
B
- put fluoride varnish baby teeth once they show up
- at 6 month, prescribe oral fluoride supplementation starting if water supply is fluoride deficient.
Dental caries prevention is for which demographic?
infants and children up to age 5 years
Depression (major depressive disorder) screening in adolescents? Category?
B
- 12 - 18 years
- Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.
Depression screening in adults? Category?
B
- all adults, including pregnant and postpartum women.
- Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.
Diabetes screening? Category?
B
- 40 - 70
- overweight or obese w/ abnormal blood glucose
- part of CVD risk assessment.
- Refer to intensive behavioral counseling interventions to promote a healthful diet and physical activity.
Falls prevention in older adults? Category?
B
- 65+
- exercise interventions to prevent falls in community-dwelling who are at increased risk for falls.
Folic acid supplementation? Category?
A
- all women planning/capable of pregnancy
- daily supplement 0.4 to 0.8 mg (400 to 800 µg) of folic acid.
Gestational diabetes mellitus screening? When? Category?
B
- all preggo after 24 weeks of gestation.
Gonorrhea prophylactic medication in newborns? Category?
A
- all newborns
- prophylactic ocular topical medication to prevent gonococcal ophthalmia neonatorum.
Gonorrhea screening in women? Category?
B
- sexually active women 24 years or younger
- older women @ high risk
Healthy diet and physical activity counseling to prevent CVD in adults with high CVD risk factors? Category?
B
- overweight/obese adults w/ CVD risk factors
- refer to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.