USPSTF A&B Flashcards

FM shelf

1
Q

Abdominal aortic aneurysm (AAA) screening in men? When? Category?

A

B

  • 65 - 75yrs
  • ever smoked
  • 1x screen for AAA w/ US
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2
Q

Aspirin preventive medication? Age group? Category?

A

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.
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3
Q

Aspirin preventive medication is for which demographic? Category?

A

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.
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4
Q

Bacteriuria screening in pregnant women? When? Category?

A

A

  • screen with urine culture in preggo women:
    1) 12 to 16 wks gestation or
    2) at the first prenatal visit
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5
Q

High BP screening in adults? Category?

A

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
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6
Q

BRCA risk assessment and genetic counseling/testing? Category?

A

B

  • PCPs screen women w/ FHx of breast, ovarian, tubal, or peritoneal cancer
  • (+) screened women get genetic counseling and BRCA testing if needed.
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7
Q

Breast cancer (BC) preventive medications? Category?

A

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,
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8
Q

Breast cancer screening? Category?

A

B

  • 50 yrs every 2 years with mammography (w/ or w/o breast exam)
  • (ACOOG) 40 and older
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9
Q

Breastfeeding interventions? Category?

A

B

- During pregnancy and after birth, educate and give support to breastfeeding.

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10
Q

Cervical cancer screening? Category?

A

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.

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11
Q

Chlamydia screening in women? Category?

A

B

  • sexually active 24 years or younger
  • older women @ high risk
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12
Q

Colorectal cancer screening? When to start/stop? Category?

A

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
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13
Q

Dental caries prevention? Category?

A

B

  • put fluoride varnish baby teeth once they show up
  • at 6 month, prescribe oral fluoride supplementation starting if water supply is fluoride deficient.
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14
Q

Dental caries prevention is for which demographic?

A

infants and children up to age 5 years

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15
Q

Depression (major depressive disorder) screening in adolescents? Category?

A

B

  • 12 - 18 years
  • Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.
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16
Q

Depression screening in adults? Category?

A

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.
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17
Q

Diabetes screening? Category?

A

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.
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18
Q

Falls prevention in older adults? Category?

A

B

  • 65+
  • exercise interventions to prevent falls in community-dwelling who are at increased risk for falls.
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19
Q

Folic acid supplementation? Category?

A

A

  • all women planning/capable of pregnancy
  • daily supplement 0.4 to 0.8 mg (400 to 800 µg) of folic acid.
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20
Q

Gestational diabetes mellitus screening? When? Category?

A

B

- all preggo after 24 weeks of gestation.

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21
Q

Gonorrhea prophylactic medication in newborns? Category?

A

A

  • all newborns
    • prophylactic ocular topical medication to prevent gonococcal ophthalmia neonatorum.
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22
Q

Gonorrhea screening in women? Category?

A

B

  • sexually active women 24 years or younger
  • older women @ high risk
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23
Q

Healthy diet and physical activity counseling to prevent CVD in adults with high CVD risk factors? Category?

A

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.
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24
Q

Hemoglobinopathies screening in newborns? Category?

A

A

- sickle cell screen in all newborns.

25
Q

Hepatitis B screening in nonpregnant adolescents and adults? Category?

A

B

- screen in persons @ high risk

26
Q

Hepatitis B screening in pregnant women? Category?

A

A

- all preggo women at 1st prenatal visit.

27
Q

Hepatitis C virus infection screening in adults? Category?

A

B

  • screen in persons @ high risk
  • 1x screen adults born between 1945 and 1965.
28
Q

Aside from high risk adults, who else should be screened for HCV?

A

Adults born between 1945 - 1965 ( 54 - 74 yrs)

29
Q

HIV screening in nonpregnant adolescents and adults? Category?

A

A

  • 15 - 65 yrs
  • Younger OR older folks @ high risk
30
Q

HIV screening in pregnant women? Category?

A

A

  • all preggo
  • all unknown HIV preggo women in labor (first time appearance)
31
Q

Hypothyroidism screening in newborns? Category?

A

A

- all newborns.

32
Q

Intimate partner violence (IPV) screening in women of reproductive age? Category?

A

B

  • all reproductive age women
  • (+) screen refer to support services.
33
Q

Lung cancer screening? Category?

A

B

  • 55 - 80 yrs
  • 30 pack-year smoking hx
  • AND currently smoke OR quit w/in 15 yrs
  • q 1yr with low-dose CT scan (computed tomography)
  • No screen if quit smoking > 15 years OR develops a health problem limiiting life expectancy or the ability/willingness to have curative lung surgery.
34
Q

Obesity screening and counseling in adults? Category?

A

B

  • BMI of 30 or higher (kg/m2)
  • refer to intensive, multicomponent behavioral interventions.
35
Q

Obesity screening in children and adolescents? Category?

A

B

  • 6+ yrs
  • offer/refer comprehensive, intensive behavioral interventions to promote improvements in weight status.
36
Q

Osteoporosis screening in postmenopausal women < 65 yrs w/ increased risk of osteoporosis? Category?

A

B

  • postmenopausal women < 65 years w/ inc risk of osteoporosis
  • Screen for osteoporosis with bone measurement testing (DEXA) to prevent osteoporotic fractures.
37
Q

Osteoporosis screening in women 65 years and older? Category?

A

B

  • 65+ yrs
  • screen w/ bone measurement testing (DEXA scan) to prevent osteoporotic fractures.
38
Q

Perinatal depression: counseling and interventions? Category?

A

B

  • pregnant and postpartum persons @ high risk
  • refer/offer counseling interventions.
39
Q

Phenylketonuria screening in newborns? Category?

A

B

- all newborns.

40
Q

Preeclampsia prevention w/ aspirin? Category?

A

B

  • after 12 wks of gestation, women @ high risk
  • low-dose aspirin (81 mg/d) as preventive medication
41
Q

After which gestation (wks) is aspirin given in high risk preeclampsia pregnancies? At what dose?

A
  • After 12 wks

- Low dose aspirin (81 mg/d)

42
Q

Preeclampsia screening? Category?

A

B

- all preggo monitor BP throughout pregnancy.

43
Q

Rh incompatibility screening during first pregnancy visit? Category?

A

A

  • all preggo during 1st visit
  • Rh (D) blood typing and antibody testing
44
Q

Rh incompatibility screening @ 24–28 weeks’ gestation? Category?

A

B

  • 24 - 28 wks gestation
  • repeat RhD antibody testing for all unsensitized RhD (-) women unless the biological father is RhD (-)
45
Q

What did they mean by unsensitized Rh (D)-negative women?

A
  • women who are RhD (-) who are still haven’t been exposed to RhD.
  • Most women become sensitized during childbirth, when their blood mixes with the RhD (+) blood of their babies.
46
Q

Who should get STI counseling? Category?

A

B

  • ALL sexually active adolescents and adults @ high risk
  • recommends intensive behavioral counseling
47
Q

Skin cancer behavioral counseling? Category?

A

B

  • 6 months - 24 years
  • fair skin
  • minimizing exposure to UV radiation to reduce their risk of skin cancer.
  • counsel young adults, adolescents, children, and parents of young children
48
Q

Who is the statin preventive medication recommendations for? Category?

A

B

  • 40–75 years
  • no Hx of CVD hx (no symptomatic CAD or ischemic stroke) but w/ ALL:
  • 1+ CVD risk factors (dyslipidemia, diabetes, hypertension, or smoking, etc.), AND
  • calculated 10-year CVD event risk of 10% +
  • Identification of dyslipidemia and calculation of 10-year CVD event risk requires universal lipids screening in adults ages 40 to 75 years.
49
Q

Statin preventive medication? Category?

A

B

  • 40 - 75 yrs
  • no Hx of CVD hx
  • 1+ CVD risk factor AND 10-year CVD event risk of 10% +
  • use a low- to moderate-dose statin for the prevention of CVD events and mortality
50
Q

Syphilis screening in nonpregnant persons? Category?

A

A

- all persons @ high risk

51
Q

Syphilis screening in pregnant women? Category?

A

A

- all preggo, early screening

52
Q

Tobacco use counseling and interventions in nonpregnant adults? Category?

A

A

  • ask all adults about tobacco use
  • advise smoking cessation
  • provide behavioral interventions and FDA–approved pharmacotherapy for cessation to adults who use tobacco.
53
Q

Tobacco use counseling in pregnant women? Category?

A

A

  • all preggo women counsel on smoking cessation
  • provide behavioral interventions for cessation to
54
Q

Tobacco use interventions in kids and adolescents? Category?

A

B

  • PREVENT INITIATION of tobacco use in school-aged children and adolescents.
  • provide interventions, including education or brief counseling
55
Q

TB screening in adults ? Category?

A

B

- latent TB infection in populations @ high risk

56
Q

Unhealthy alcohol use: adults? Category?

A

B

  • 18 yrs +, including preggo
  • risky hazardous drinkers provide brief behavioral counseling interventions to reduce unhealthy alcohol use
57
Q

Vision screening in children ? Category?

A

B

  • 3 - 5 yrs
  • 1x screen to detect amblyopia (lazy eye) or its risk factors (Bilateral astigmatism and bilateral hyperopia - according to journal but not in recommendation)
58
Q

In adults 50 - 59 years, low dose aspirin is being used as a primary prevention of what?

A

CVD and colorectal cancer

59
Q

Which recommendations are class A?

A
  • Bacteria screening in preggo
  • BP screening in adults 18 and older
  • Cervical cancer screening
  • Folic acid supplementation
  • Gonorrhea prophylaxis in newborns
  • Sickle cell screening (hemoglobinopathies)
  • HBV screening in preggo
  • HIV screening in preggo and non preggo adults and adolescents
  • HypoTH screening in newborns
  • Rh incompatibility screening 1st pregnancy
  • Syphilis screening in preggo and non preggo pple
  • Smoking intervention and counseling in non preggo pple and preggo pple