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Steph Foundations > USPSTF Guidelines > Flashcards

USPSTF Guidelines Flashcards

1
Q

What is the main focus of primary prevention, and what is an example?

A

preventing disease in the first place - immunizations

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2
Q

What is the main focus of secondary prevention, and what is an example?

A

screening for asymptomatic disease (the patient comes in and has no complaint of symptoms) - mammograms, colonoscopies

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3
Q

What is the main focus of tertiary prevention, and what is an example?

A

preventing complications from symptomatic disease - diabetes management

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4
Q

What guidelines should be used for average risk asymptomatic individuals in a primary care setting?

A

USPSTF guidelines for adequate screenings

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5
Q

What screening services are 100% covered by all insurances under the ACA?

A

A and B level recommendations

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6
Q

How are screening decisions made?

A
  • does it lessen the burden of suffering
  • how good is the screening test
  • does it provide adequate prevention
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7
Q

What are some harms that can be associated with screening?

A 
risks associated with the screening test
anxiety
over diagnosis
additional diagnostic testing
be aware of limited benefit with certain comorbidities
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8
Q

What is the guideline for carotid artery stenosis screening?

A

Grade D

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9
Q

What are the guidelines for hypertension?

A

Grade A: everyone over 18

blood pressure is taken at every visit anyway

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10
Q

What are the guidelines for hypertension in children and adolescents?

A

AAP: 3 years and older, every health care episode
NHLB: 3-17 years old annually
bright futures AHA: during annual well child visits beginning at age 3

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11
Q

What are the screening guidelines for hyperlipidemia/high cholesterol?

A

under age 20 insufficient evidence

age 40-75 with no history of cv disease, but at least 1 CVD risk factor (over 10%) - they should be put on a statin/cholesterol medication = Grade B

age 76+ with no history of CVD insufficient evidence

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12
Q

What is the guideline for coronary heart disease?

A

if their is no history of CHD - insufficient evidence

using an EKG for low risk adults is a grade D

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13
Q

What is the guideline for abdominal aortic aneurysm in men?

A

65-75 year olds who had smoked = Grade B

65-75 year olds never smoked = Grade C

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14
Q

What is the guidelines for abdominal aortic aneurysm for women?

A

65-75 who smoked - insufficient evidence

65-75 if they never smoked = Grade D

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15
Q

What are the guidelines for peripheral artery disease?

A

risk assessment with ankle brachial index indicates insufficient evidence

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16
Q

What is the guideline for aspirin prophylaxis for a person 50-59 years old?

A

50-59 year olds = grade B, if they have a greater than 10% 10 year CVD risk, not at risk for bleeding, life expectancy of at least 10 years, willing to take daily

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17
Q

What is the guideline for aspirin prophylaxis for a person 60-69 years old?

A

age 60-69 with a greater than 10% 10 year CVD risk = Grade C

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18
Q

What is the guideline for aspirin under 50 or over 70 years old?

A

insufficient evidence

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19
Q

What is the guideline for colorectal cancer?

A

adults age 50-75 = Grade A

adults age 76-85 = Grade C

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20
Q

What is the guideline for prostate cancer?

A

Grade D

21
Q

What are the harms associated with prostate cancer screening?

A

false positives,
biopsy side effects
overtreatment
side effects from treatment

22
Q

What are the current USPSTF draft recommendations for prostate screening?

A

Grade C age 55-69

Grade D men 70+

23
Q

What are the guidelines for skin cancer?

A

insufficient evidence

24
Q

What are the USPSTF guidelines for breast cancer?

A

40-49 Grade C

50-74 Grade B

25
Q

What are the ACOG guidelines for breast cancer?

A

every year 40-74

over 75 individualize

26
Q

What is the USPSTF guidelines for cervical cancer?

A

screen women at 21-65 (Grade A)
do not screen under 21
do not test for HPV under 30 (Grade D)

27
Q

What is the guideline for lung cancer?

A

adults 55-80 with a history of smoking Grade B

can get a CT if there is a 30 pack year history, or has quit in the last 15 years

28
Q

What is the guideline for chlamydia?

A

Grade B for sexually active women under 24, and older women at risk

insufficient evidence for men

29
Q

What is the guideline for Hep B?

A

Grade B = people at high risk

Grade A = pregnant women at first prenatal visit

30
Q

What is the guideline for Hep C?

A

Grade B = people at high risk and offer 1 time screening for baby boomers

no guideline for adoslescents and adults

31
Q

What is the guideline for HIV?

A

Grade A = screen adolescents and adults 15-65, screen others if they are at risk

Grade A = all pregnant women

32
Q

What is the guideline for syphillis?

A

asymptomatic, non pregnant adults and adolescents at increase risk = Grade A

pregnant women = Grade A

33
Q

What is the guideline for depression?

A

Grade B for general adult population

Grade B for adolescents 12-18

34
Q

What is the guideline for depression in children under 11?

A

insufficient evidence

35
Q

What is the guideline for tobacco?

A

Grade A = ask all adults including pregnant women about tobacco use and advise against it

36
Q

What is the guideline for tobacco use in children?

A

Grade B = provide interventions including education

37
Q

What is the guideline for alcohol?

A

Grade B = screen adults over 18 for alcohol misuse and provide brief behavioral interventions

38
Q

What is the guideline for alcohol in people under 18?

A

insufficient evidence

39
Q

What is the guideline for drug abuse?

A

insufficient evidence

40
Q

What is the guideline for intimate partner violence?

A

grade B for women of childbearing age

41
Q

What is the guideline for intimate partner violence in elderly?

A

insufficient evidence

42
Q

What is the guideline for thyroid disorders?

A

insufficient evidence

43
Q

What is the guideline for thyroid cancer?

A

Grade D

44
Q

What is the guideline for osteoporosis?

A

women over 65 and younger women whose risk is equal or greater than a 65 year old white woman = Grade B

45
Q

What is the guideline for osteoporosis in men?

A

insufficient evidence

46
Q

What is the guideline for obesity?

A

Grade B = screen all adults, or refer pateints with a BMI over 30 to behavioral interventions

Grade B for children and adolescents

47
Q

What is recommended for vision?

A

insufficient evidence for glaucoma
insufficient evidence for sight loss over 65

Grade B - screening once for children 3-5 for amblyopia

48
Q

What is the guideline for hearing?

A

insufficient evidence

Steph Foundations (1 decks)

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