USPSTF A&B screening recommendations

Question 1

AAA screening. one time in MEN who have ever smoked, what age group?

Answer 1

65-75 yrs old.

NO females

Question 2

low dose aspirin prophylaxis for who?

Answer 2

50-59 yrs old, 10+% 10 yr CV risk

Question 3

asymptomatic bacteriuria screening in pregnant woman how many weeks? what test to screen?

Answer 3

urine culture

12-16 weeks

Question 4

what age to start screening for HTN?

Answer 4

18 and up

Question 5

if woman is at known increased risk for breast cancer, what should you do?

Answer 5

For women who are at increased risk for breast cancer and at low risk for adverse medication effects, clinicians should offer to prescribe risk-reducing medications, such as tamoxifen or raloxifene.

Question 6

age and how often for mammograms

Answer 6

start age 40 yrs, ever 1-2 years

Question 7

Cervical screening:
before age 30, cytology alone every __ years (DONT test HPV before age 30).
after age 30-65 yrs old, only cytology every ___ years, or only HPV every ____ years, or combined cytology and HPV every ___ years

Answer 7

before age 30, cytology alone every 3 years.

after age 30, only cytology every 3 years and only HPV every 5 years, or combined every 5 years

Question 8

who do you check for Gon/Cl

Answer 8

age 24 or younger sexually active, or if they’re older but are at increased risk

Question 9

colorectal screening age group?

Answer 9

50-75 years

but if a first degree relative has it, get screened first time 10 yrs before their age at diagnosis, or 50, whichever one comes first. (ie if dad got cancer at 50, screen at 40. if got at 70, still screen at 50)

Question 10

dental carry prevention

Answer 10

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.

Question 11

screen for depression starting at age ___

Answer 11

12

Question 12

diabetes screening in who?

Answer 12

overweight/obese adults age 40-70

Question 13

exercise to prevent falls in who?

Answer 13

community-dwelling adults 65 years or older who are at increased risk for falls

Question 14

how much folic acid for prenatal dose?

Answer 14

0.4 to 0.8mg, or 400 to 800 micrograms, daily

Question 15

when to screen pregnant women for gestational diabetes

Answer 15

24-28 weeks

Question 16

gonorrhea eye infection prophylaxis in newborns

Answer 16

all newborns

erythromycin ointment

Question 17

what do you screen for in all newborns? (3)

Answer 17

1. sickle cell dz
2. congenital hypothyroidism
3. PKU

Question 18

who do you screen for hepB? (2 groups)

Answer 18

1. pregnant women at first prenatal visit

2. people at high risk for infection. lol

Question 19

besides people at high risk of infection, who do you screen for Hep C?

Answer 19

adults born in 1945-1965 (currently ages 54-74)

Question 20

besides people at high risk of infection, who do you screen for HIV? (age group)

Answer 20

ages 15-65

Question 21

pregnant women HIV screening

Answer 21

all women.

including those who present in labor who are untested or unknown status

Question 22

others:

1. always support breastfeeding
2. screen for intimate partner violence in women of reproductive age and provide or refer women who screen positive to ongoing support services.
3. screen for preeclampsia (measure BP) in pregnant women at all ages of gestation
4. counsel sexually active teens and risky sexually adults
5. stop smoking. and tell teens to dont start smoking

Answer 22

okie

Question 23

what age to start screening for obesity?

Answer 23

6 yrs and up

Question 24

lung cancer screening:
which test do you use?
ages _ to __ years with a ___ pack year smoking history and currently smoking or quit < __ years ago

Answer 24

ages 55-80
30 pack year
quit < 15 years ago

low dose CT scan

Question 25

who else besides >65 yr old women do you screen for osteoporosis? how often?

Answer 25

POSTMENOPAUSAL women YOUNGER than 65 yrs at increased risk for osteoporosis (using clinical tool)

one time DEXA scan

Question 26

low dose (__mg) aspirin for pregnant women at increased risk for preeclampsia, starting from how many weeks gestation?

Answer 26

81 mg/day

starting at 12 week gestation

Question 27

woman comes for first prenatal visit, what do you need to screen for? (4)

Answer 27

1. Rh incompatibility (Rh blood typing and antibody testing of the MOTHER)
2. Hep B screening
3. bacteriuria if they are farther along than 12-16 weeks
4. syphilis (this doesn’t have to be at first, but sometime “early”)

Question 28

if Rh screening showed unsensitized Rh- mother at initial prenatal visit, when do you repeat the test?

Answer 28

24-28 weeks

unless father is known to be Rh - also

Question 29

universal lipid screening in adults age __ to ___

Answer 29

40-75 yrs old

Question 30

who do you screen for syphilis (besides pregnant women)

Answer 30

1. pregnant women
2. those at increased risk
   no automatic age group like HIV

Question 31

who do you screen for TB

Answer 31

screen for latent TB in populations at increased risk

Question 32

who do you screen for unhealthy alcohol use?

Answer 32

18 years or older, including pregnant women.
provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.

Question 33

vision screening in children. what age and how often?

Answer 33

at least once between ages 3-5 to detect amblyopia or its risk factors

Question 34

screening tool for colorectal cancer and how often if everything normal? (3 different options)

Answer 34

colonoscopy Q10 yrs
OR
flex sig Q5 yrs + FIT/FOBT Q3yrs
OR
FIT/FOBT Q1yrs

Question 35

when can you stop cervical cancer screening?

Answer 35

65+ yrs old AND 3 consecutive normal paps.

or TAH and she has no cervix

Question 36

ovarian cancer screening?

Answer 36

ONLY if BRCA positive or Lynch syndrome, those types of stuff. do NOT screen general population