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Shelf Exams > USPSTF Guidelines > Flashcards

USPSTF Guidelines Flashcards

1
Q

Abdominal aortic aneurysm screening: men

A

1x screening for AAA by US in men ages 65 to 75 years who have ever smoked.

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2
Q

Alcohol misuse: screening and counseling

A

Adults 18+ 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

Aspirin preventive medication: adults aged 50 to 59 years with a ≥10% 10-year cardiovascular risk

A

Start low-dose ASA use for the primary prevention of cardiovascular disease and colorectal cancer in adults aged 50 to 59 years if:
+ > 10% 10-year cardiovascular risk
+ no increased risk for bleeding
+ >10 yr life expectancy
+ willing to take low-dose ASA daily for at least 10 years

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4
Q

Bacteriuria screening: pregnant women

A

Screen (w urine culture) for asymptomatic bacteriuria in pregnant women at 12 to 16 weeks’ or at the first prenatal visit (whichever comes first).

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5
Q

Blood pressure screening: adults

A

Screen 18+ years or older.

The USPSTF recommends obtaining measurements outside of the clinical setting for diagnostic confirmation before starting treatment.

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6
Q

BRCA risk assessment

and genetic counseling/testing

A

Screen women who have family members with breast, ovarian, tubal, or peritoneal cancer.

Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.

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7
Q

Breast cancer preventive medications

A

Tamoxifen or raloxifene for increased risk for breast cancer and at low risk for adverse medication effects. (Shared decision making.)

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8
Q

Breast cancer screening

A

Screening mammo every 1-2 years for women > 40.

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9
Q

Breastfeeding interventions

A

Support breastfeeding during pregnancy and after birth.

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10
Q

Cervical cancer screening

A

Pap with cytology every 3 years 21 - 65yo

OR Pap/HPV co-test every 5 years 30 - 65 yo

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11
Q

Chlamydia screening: women

A

Screen sexually active women < 24 yo

Screen >24 yo if at increased risk for infection.

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12
Q

Colorectal cancer screening

A

Colonoscopy 50-75 yo every 10 yrs (min, more freq depending on results)

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13
Q

Dental caries prevention: infants and children up to age 5 years

A

Fluoride varnish for all kids from first tooth.

Prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is fluoride deficient.

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14
Q

Depression screening: adolescents

A

Screen all 12 - 18 yo.

Need diagnosis, effective treatment, and appropriate follow-up.

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15
Q

Depression screening: adults

A

Screen general adult population, including pregnant and postpartum women.

Need diagnosis, effective treatment, and appropriate follow-up.

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16
Q

Diabetes screening

A

Check blood glucose (as part of CV risk assessment) in adults aged 40 - 70 yo if overweight or obese.

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17
Q

Falls prevention in older adults: exercise or physical therapy

A

Exercise or PT to prevent falls in community-dwelling adults > 65 yo if at increased risk for falls.

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18
Q

Falls prevention in older adults: vitamin D

A

Vitamin D supplementation to prevent falls in community-dwelling adults > 65 yo if at increased risk for falls.

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19
Q

Folic acid supplementation

A

All women planning or capable of pregnancy –> 0.4 to 0.8 mg (400 to 800 µg) of folic acid daily.

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20
Q

Gestational diabetes mellitus screening

A

Screen at 24 weeks gestation if asymptomatic.

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21
Q

Gonorrhea prophylactic medication: newborns

A

PPx w ocular topical medication (erythromycin) for all newborns for the prevention of gonococcal ophthalmia neonatorum

22
Q

Gonorrhea screening: women

A

Screen sexually active women < 24 yo

Screen >24 yo if at increased risk for infection.

23
Q

Healthy diet and physical activity counseling to prevent cardiovascular disease: adults with cardiovascular risk factors

A

Overweight or obese adults w additional CV risk factors –> refer to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.

24
Q

Hearing loss screening: newborns

A

Screen all newborns.

25
Q

Hemoglobinopathies screening: newborns

A

Screen all newborns for sickle cell disease.

26
Q

Hepatitis B screening: nonpregnant adolescents and adults

A

Screen for hepatitis B virus infection if at high risk (unprotected sex/IV drug use).

27
Q

Hepatitis B screening: pregnant women

A

Screen all women at their first prenatal visit.

28
Q

Hepatitis C virus infection screening: adults

A

Screening if at high risk for infection.

Offering 1x screening for adults born between 1945 and 1965 (before transfusion screening).

29
Q

HIV screening: nonpregnant adolescents and adults

A

Screen 15 - 65 yo.

Younger or older if at increased risk.

30
Q

HIV screening: pregnant women

A

Screen all pregnant women for HIV, including those who present in labor who are untested and whose HIV status is unknown.

31
Q

Hypothyrodism screening: newborns

A

Screen all newborns.

32
Q

Intimate partner violence screening: women of childbearing age

A

Screen women of childbearing age for intimate partner violence.

Refer to intervention services. This recommendation applies to women who do not have signs or symptoms of abuse.

33
Q

Lung cancer screening

A

Annual screening for lung cancer with low-dose CT i:
+ 55-80 yo with a 30 pack-year smoking history
+ currently smoke OR have quit < 15 years ago.

D/C screening if quit > 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.

34
Q

Obesity screening and counseling: adults

A

Screen all adults for obesity.

BMI > 30 –> intensive, multicomponent behavioral interventions.

35
Q

Obesity screening and counseling: children

A

Screen children > 6 yo.

Refer to comprehensive, intensive behavioral interventions to promote improvement in weight status.

36
Q

Osteoporosis screening: women

A

Screening women > 65 yo

OR <65 if fracture risk ~ a 65-year-old white woman who has no additional risk factors.

37
Q

Phenylketonuria screening: newborns

A

Screen all newborns.

38
Q

Preeclampsia prevention: aspirin

A

Low-dose ASA (81 mg/d) ppx after 12 weeks EGA if at high risk for preeclampsia.

39
Q

Rh incompatibility screening: first pregnancy visit

A

All women –> Rh (D) blood typing and antibody at first visit for pregnancy-related care.

40
Q

Rh incompatibility screening: 24–28 weeks’ gestation

A

Repeat Rh (D) antibody testing for all unsensitized Rh (D)-negative women at 24 - 28 weeks’ EGA, unless the biological father is known to be Rh (D)-negative.

41
Q

Sexually transmitted infections counseling

A

Intensive behavioral counseling if:

  • sexually active adolescents
  • adults at increased risk for STI
42
Q

Skin cancer behavioral counseling

A

Counsel 10 - 24 yo with fair skin to minimize UV exposure/radiation to reduce risk for skin cancer.

43
Q

Statin preventive medication: adults ages 40–75 years with no history of CVD, 1 or more CVD risk factors, and a calculated 10-year CVD event risk of 10% or greater

A

Adults w/o h/o CVD –> low- to moderate-dose statin if (ALL 3):

1) 40 - 75 yo
2) 1+ CVD risk factors (i.e., dyslipidemia, diabetes, hypertension, or smoking)
3) 10-year risk > 10%

Dx of dyslipidemia and calculation of 10-year risk requires universal lipids screening in 40 - 75 yo.

44
Q

Tobacco use counseling and interventions: nonpregnant adults

A
  • Ask all adults about tobacco use,
  • Advise them to stop using tobacco
  • Provide behavioral interventions and meds for cessation
45
Q

Tobacco use counseling: pregnant women

A
  • Ask all pregnant women about tobacco use,
  • Advise them to stop using tobacco
  • Provide behavioral interventions and meds for cessation
46
Q

Tobacco use interventions: children and adolescents

A

Prevent initiation of tobacco use in school-aged children and adolescents w education or brief counseling.

47
Q

Tuberculosis screening: adults

A

Screen for latent TB if at increased risk.

48
Q

Syphilis screening: nonpregnant persons

A

Screen if at increased risk for infection.

49
Q

Syphilis screening: pregnant women

A

Screen all pregnant women.

50
Q

Visual acuity screening: children

A

Screen all children 1x btwn 3 - 5 yo –> detect amblyopia or its risk factors (strabismus, etc).

Shelf Exams (1 decks)

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