USPSTF guidlines

Question 1

CVD HTN

USPSTF

Answer 1

Grade A
Age 18+ screen every 3-5 yrs until age 40, then annually
or

Annual screen if at increased risk

• high normal BP
• overweight
• African American

Question 2

CVD HTN

AAP (American Academy of Pediatrics) guidelines

Answer 2

all children over age of 3 screening at every health care episode

Question 3

CVD HTN

NHLB, Bright Futures, AHA guidelines

Answer 3

Annually beginning at age 3

Question 4

CVD HLD

USPSTF

Answer 4

Grade B 
primary prevention 
-adults 40-75y/o with no hx of CVD
-1 or more CVD risk factor
-and 10yr CVD risk of 10% or greater = low-mod dose statin therapy recommended 

If CVD risk bw 7.5-10% Grade C

Question 5

CVD Coronary Heart Disease

USPSTF

Answer 5

no hx of CHD using non-traditional risk factors (hs-CRP, ankle-brachial index, calcification score) there is insufficient evidence * guideline being updated

Question 6

USPSTF, using EKG (resting or exercise)

Answer 6

Low risk adults = Grade D

Intermediate or high risk adults = insufficient evidence

guideline being updated

Question 7

CVD Carotid artery stenosis

USPSTF

Answer 7

Grade D screening

Potential for overall benefit limited by low prevalence and harms

Question 8

CVD AAA for men

USPSTF

Answer 8

Grade B
men 65-75y/o who have ever smoked = one time screening with U/S

Grade C
men 65-75y/o who have never smoked

*Guideline being updated

Question 9

CVD AAA for women

USPSTF

Answer 9

Insufficient evidence women 65-75y/o who have ever smoked

Grade D
women 65-75y/o who have never smoked

*Guideline being updated

Question 10

CVD Peripheral artery disease (PAD)

USPSTF

Answer 10

Risk assessment with Ankle Brachial Index = Insufficient evidence

*Guideline being updated

Question 11

CVD and Colorectal Cancer- Aspirin prophylaxis

USPSTF

Answer 11

Grade B
Adults 50-59y/o
-10 yr CVD risk of 10% or greater
-not at risk of bleeding
-have life expectancy of at least 10 yrs
-willing to take low dose ASA daily for at least 10 yrs

Question 12

Colorectal cancer screening

USPSTF

Answer 12

Grade A

Adults 50-75y/o

Question 13

Colorectal cancer screening - American College of Gastroenterology guideline

Answer 13

Start at age 50 and 45 in African Americans

Question 14

Prostate cancer PSA

USPSTF

Answer 14

Grade D for Age 70+

Grade C = Age 50-69 - Individualized after discussing benefits and harms with clinician and incorporating patient values and preferences in the decision

Question 15

Skin cancer screening

USPSTF

Answer 15

Insufficient evidence

Grade B recommendation for counseling for persons aged 6 months – 24 years

> 24y/o = Grade C

Question 16

Breast Cancer

USPSTF

Answer 16

Grade B
Age 50-74 y/o
Screen every 2 yrs

Question 17

Breast Cancer

ACOG guidelines

Answer 17

Offer at age 40, start no later than age 50

Every 1-2 years, until age 75 then discuss discontinuation

Question 18

Cervical Cancer

USPSTF

Answer 18

Grade A
Women 21-29y/o
Screening for cervical cancer every 3 yrs with cervical cytology alone (pap smear)

Women 30-65 yo
Screening for cervical cancer every 3 yrs with cervical cytology alone and HPV testing every 5 yrs
or…
HPV testing in combination with cervical cytology every 5 yrs

Question 19

Lung cancer

USPSTF

Answer 19

Grade B, adult 55-80y/o with a hx of smoking

Question 20

Chlamydia and Gonorrhea

USPSTF

Answer 20

Grade B - screen in sexually active women 24y/o and older at increased risk

insufficient evidence for men

Question 21

Hepatitis B

Answer 21

Grade B: screen those at high risk
Grade A*: screen pregnant women at first prenatal visit

*Guideline being updated

Question 22

Hepatitis C

Answer 22

Grade B: screen those at high risk and offer 1-time screening to adults born between 1945 and 1965

Question 23

HIV

Answer 23

Screen adolescents and adults aged 15-65; screen those younger or older if at increased risk

Screen all pregnant women (grade A)*

Pre-exposure prophylaxis*

*Guideline being updated

Question 24

Syphilis

Answer 24

Grade A: screen asymptomatic, non-pregnant adults & adolescents at increased risk

Grade A: early screening in all pregnant women

Question 25

Depression | USPSTF

Answer 25

Grade B: screen the general adult population, including pregnant & postpartum women Grade B: screen for major depressive disorder in adolescents aged 12-18 y/o

Question 26

Tobacco (adults) | USPSTF

Answer 26

Grade A: ask all adults (including pregnant women), advise cessation and provide behavioral interventions provide FDA approved pharmacotherapy for cessation to non-pregnant adults who use tobacco

Question 27

Tobacco (children and adolescents)

Answer 27

Grade B: provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents *Guideline being updated

Question 28

Alcohol

Answer 28

Grade B: screen adults ≥ 18 y/o (including pregnant women) Age 12-17 y/o: Insufficient evidence

Question 29

Intimate Partner Violence | USPSTF

Answer 29

Women of reproductive age | Grade B

Question 30

Thyroid dysfunction

Answer 30

Insufficient evidence

Question 31

Thyroid Cancer

Answer 31

Grade D

Question 32

Osteoporosis

Answer 32

Grade B Women 65y/o or older and also postmenopausal women under 65y/o w/ increased risk as determined by assessment tool insufficient evidence for men

Question 33

Obesity

Answer 33

Grade B adults with BMI of 30+ (obese) | Grade B for adolescents starting at 6y/o

Question 34

Vision

Answer 34

Grade B | vision screening at least once in children aged 3-5 y/o for amblyopia or its risk factors

Question 35

Injury prevention

Answer 35

Grade B | Adults 65y/o + recommend exercise interventions to prevent falls