USPSTF Guidelines Flashcards

1
Q

Abdominal aortic aneurysm screening: men

A

The USPSTF recommends one-time screening for abdominal aortic aneurysm with ultrasonography in men aged 65 to 75 years who have ever smoked.

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2
Q

Aspirin preventive medication: adults aged __to ___ years with a ≥___% 10-year cardiovascular risk

A

The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease and colorectal cancer in adults aged 50 to 59 years who have a 10% or greater 10-year cardiovascular risk, are not at increased risk for bleeding, have a life expectancy of at least 10 years, and are willing to take low-dose aspirin daily for at least 10 years.

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3
Q

Bacteriuria screening: pregnant women

A

The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons.

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4
Q

Blood pressure screening: adults

A

The USPSTF recommends screening for high blood pressure in adults aged 18 years or older. The USPSTF recommends obtaining measurements outside of the clinical setting for diagnostic confirmation before starting treatment.

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5
Q

BRCA risk assessment

and genetic counseling/testing

A

The USPSTF recommends that primary care clinicians assess women with a personal or family history of breast, ovarian, tubal, or peritoneal cancer or who have an ancestry associated with breast cancer susceptibility 1 and 2 (BRCA1/2) gene mutations with an appropriate brief familial risk assessment tool. Women with a positive result on the risk assessment tool should receive genetic counseling and, if indicated after counseling, genetic testing.

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6
Q

Breast cancer preventive medications

A

The USPSTF recommends that clinicians offer to prescribe risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors, to women who are at increased risk for breast cancer and at low risk for adverse medication effects.

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7
Q

Breast cancer screening

A

The USPSTF recommends screening mammography for women, with or without clinical breast examination, every 1 to 2 years for women age 40 years and older.

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8
Q

Breastfeeding interventions

A

Providing interventions during pregnancy and after birth to support breastfeeding.

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9
Q

Cervical cancer screening

A
  • Women aged 21 to 29 years: every 3 years with cervical cytology alone
  • Women aged 30 to 65 years, screening every 3 years with cervical cytology ALONE, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (co-testing).
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10
Q

Chlamydia screening: women

A

The USPSTF recommends screening for chlamydia in sexually active women age 24 years or younger and in older women who are at increased risk for infection.

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11
Q

Colorectal cancer screening

A

The USPSTF recommends screening for colorectal cancer starting at age 50 years and continuing until age 75 years.

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12
Q

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

A

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.

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13
Q

Depression screening: adolescents

A

Recommends screening for major depressive disorder (MDD) in adolescents aged 12 to 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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14
Q

Depression screening: adults

A

The USPSTF recommends screening for depression in the general adult population, 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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15
Q

Diabetes screening

A

The USPSTF recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese. Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity.

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16
Q

Falls prevention: older adults

A

The USPSTF recommends exercise interventions to prevent falls in community-dwelling adults 65 years or older who are at increased risk for falls.

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17
Q

Folic acid supplementation

A

The USPSTF recommends that all women who are planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid.

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18
Q

Gestational diabetes mellitus screening

A

The USPSTF recommends screening for gestational diabetes mellitus in asymptomatic pregnant women after 24 weeks of gestation.

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19
Q

Gonorrhea prophylactic medication: newborns

A

The USPSTF recommends prophylactic ocular topical medication for all newborns to prevent gonococcal ophthalmia neonatorum.

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20
Q

Gonorrhea screening: women

A

The USPSTF recommends screening for gonorrhea in sexually active women age 24 years or younger and in older women who are at increased risk for infection.

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21
Q

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

A

The USPSTF recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.

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22
Q

Hemoglobinopathies screening: newborns

A

The USPSTF recommends screening for sickle cell disease in newborns.

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23
Q

Hepatitis B screening: nonpregnant adolescents and adults

A

The USPSTF recommends screening for hepatitis B virus infection in persons at high risk for infection.

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24
Q

Hepatitis B screening: pregnant women

A

The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women at their first prenatal visit

25
Q

Hepatitis C virus infection screening: adults

A

The USPSTF recommends screening for hepatitis C virus (HCV) infection in persons at high risk for infection. The USPSTF also recommends offering one-time screening for HCV infection to adults born between 1945 and 1965.

26
Q

HIV preexposure prophylaxis for the prevention of HIV infection

A

The USPSTF recommends that clinicians offer preexposure prophylaxis (PrEP) with effective antiretroviral therapy to persons who are at high risk of HIV acquisition.

27
Q

HIV screening: adolescents and adults ages 15 to 65 years

A

The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk of infection should also be screened.

28
Q

HIV screening: pregnant women

A

The USPSTF recommends that clinicians screen for HIV infection in all pregnant persons, including those who present in labor or at delivery whose HIV status is unknown.

29
Q

Hypothyroidism screening: newborns

A

The USPSTF recommends screening for congenital hypothyroidism in newborns.

30
Q

Intimate partner violence screening: women of reproductive age

A

The USPSTF recommends that clinicians screen for intimate partner violence in women of reproductive age and provide or refer women who screen positive to ongoing support services.

31
Q

Lung cancer screening: ages ___ to ___ years

A

The USPSTF recommends annual screening for lung cancer with low-dose computed tomography in adults ages 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.

32
Q

Obesity screening and counseling: adults

A

The USPSTF recommends that clinicians offer or refer adults with a body mass index of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions.

33
Q

Obesity screening: children and adolescents

A

The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status.

34
Q

Osteoporosis screening: postmenopausal women younger than 65 years at increased risk of osteoporosis

A

The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in postmenopausal women younger than 65 years who are at increased risk of osteoporosis, as determined by a formal clinical risk assessment tool.

35
Q

Osteoporosis screening: women 65 years and older

A

The USPSTF recommends screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.

36
Q

Perinatal depression: counseling and interventions

A

The USPSTF recommends that clinicians provide or refer pregnant and postpartum persons who are at increased risk of perinatal depression to counseling interventions.

37
Q

Phenylketonuria screening: newborns

A

The USPSTF recommends screening for phenylketonuria in newborns.

38
Q

Preeclampsia prevention: aspirin

A

The USPSTF recommends the use of low-dose aspirin (81 mg/d) as preventive medication after 12 weeks of gestation in women who are at high risk for preeclampsia.

39
Q

Preeclampsia: screening

A

The USPSTF recommends screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.

40
Q

Rh incompatibility screening: first pregnancy visit

A

The USPSTF strongly recommends Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care.

41
Q

Rh incompatibility screening: __ to __ weeks’ gestation

A

The USPSTF recommends repeated Rh (D) antibody testing for all unsensitized Rh (D)-negative women at 24 to 28 weeks’ gestation, unless the biological father is known to be Rh (D)-negative.

42
Q

Sexually transmitted infections counseling

A

The USPSTF recommends intensive behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.

43
Q

Skin cancer behavioral counseling

A

The USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to ultraviolet (UV) radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer.

44
Q

Statin preventive medication: adults ages __ to __ 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

The USPSTF recommends that adults without a history of cardiovascular disease (CVD) (i.e., symptomatic coronary artery disease or ischemic stroke) use a low- to moderate-dose statin for the prevention of CVD events and mortality when all of the following criteria are met: 1) they are ages 40 to 75 years; 2) they have 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension, or smoking); and 3) they have a calculated 10-year risk of a cardiovascular event of 10% or greater. Identification of dyslipidemia and calculation of 10-year CVD event risk requires universal lipids screening in adults ages 40 to 75 years.

45
Q

Syphilis screening: nonpregnant persons

A

The USPSTF recommends screening for syphilis infection in persons who are at increased risk for infection.

46
Q

Syphilis screening: pregnant women

A

The USPSTF recommends early screening for syphilis infection in all pregnant women.

47
Q

Tobacco use counseling and interventions: nonpregnant adults

A

The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)–approved pharmacotherapy for cessation to adults who use tobacco.

48
Q

Tobacco use counseling: pregnant women

A

The USPSTF recommends that clinicians ask all pregnant women about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant women who use tobacco.

49
Q

Tobacco use interventions: children and adolescents

A

The USPSTF recommends that clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents.

50
Q

Tuberculosis screening: adults

A

The USPSTF recommends screening for latent tuberculosis infection in populations at increased risk.

51
Q

Unhealthy alcohol use: adults

A

The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.

52
Q

Vision screening: children

A

The USPSTF recommends vision screening at least once in all children ages 3 to 5 years to detect amblyopia or its risk factors. (astigmatism, Hyperopia, Anisometropia, Myopia, Manifest strabismus in primary position, media opacity)

53
Q

Gynecological Conditions: Periodic Screening with the Pelvic Examination

A

Performing screening pelvic examination in asymptomatic, non-pregnant adult women is NOT recommended

54
Q

Cervical Cancer screening for women > 65

A

DO NOT SCREEN, With prior adequate screening: 3 consecutive negative cytology results to 2 consecutive (-) HPV results within 10 years before cessation of screening, with the most recent test occurring within 5 years

55
Q

Prostate Cancer Screening in the general population

A

DO NOT SCREEN. It does not reduce mortality.

56
Q

Thyroid Cancer Screening in asymptomatic adults

A

DO NOT SCREEN.

57
Q

Factors associated with increased risk of osteoporotic fractures

A
  • Parental history of hip fracture
  • Smoking
  • Excessive alcohol consumption
  • Low body weight
  • Menopausal status
58
Q

Vitamin D and/or Calcium supplementation for primary prevention of fractures in Community Dwelling Adults

A

Recommends against daily supplementation with 400 IU or less of vitamin D and 1000mg or less of calcium