USPSTF Recs

Question 1

AAA

Answer 1

1 time u/s in men ages 65-75 who have ever smoked

Question 2

Alcohol abuse

Answer 2

> 18, brief behavioral counseling for people with risky behaviors

Question 3

Aspirin

Answer 3

50-59 with 10% or greater CV risk, not at increased bleeding risk, life expectancy of at least 10 years, willing to take aspirin daily for at least 10 years

Question 4

Bacteriuria in pregnant women

Answer 4

Urine culture at 12-16 weeks

Question 5

Blood pressure

Answer 5

> 18, get outside measurements before initiating treatment

Question 6

BRCA

Answer 6

Screen people with family history–>genetic counseling if positive

Question 7

Breast cancer prevention

Answer 7

Offer tamoxifen/raloxifene to women at increased cancer risk and low adverse effects risk

Question 8

Breast cancer screening

Answer 8

Mammogram with/without clinical breast exam every 1-2 years for women >40

Question 9

Chlamydia

Answer 9

Sexually active women <24 and older women at risk

Question 10

Cervical cancer

Answer 10

21-65: Pap smear every 3 years

30-65: cytology+HPV testing every 5 years

Question 11

Cholesterol

Answer 11

Men >35
Men 20-25 at increased coronary heart disease risk
Women 20-45 at increased coronary heart disease risk

Question 12

Colorectal cancer

Answer 12

50-75 years

Question 13

Cavity prevention

Answer 13

Fluoride varnish on all children

Fluoride supplementation at 6 months for deficient water

Question 14

Diabetes

Answer 14

Adults 40-70 who are overweight or obese

Question 15

Fall prevention

Answer 15

> 65: exercise, PT, Vitamin D

Question 16

Folic acid

Answer 16

0.4-0.8mg for all women who could become pregnant

Question 17

Gestational diabetes

Answer 17

24 weeks

Question 18

Gonorrhea

Answer 18

Sexually active women <24 and older women at risk

Question 19

Hearing loss

Answer 19

All newborns

Question 20

Sickle cell

Answer 20

All newborns

Question 21

Hep B

Answer 21

All people at high risk

Pregnant women at first prenatal visit

Question 22

Hep C

Answer 22

All people at high risk

One-time screening for people born 1945-1965

Question 23

HIV

Answer 23

Screening for ages 15-65

All pregnant women

Question 24

Hypothyroidism

Answer 24

All newborns

Question 25

Lung cancer

Answer 25

Annual CT for 55-80 with 30 pyh who have smoked in past 15 years
(Discontinue once person hasn’t smoked for 15 years or has another health problem)

Question 26

Obesity

Answer 26

Screen everyone >6

Refer adults with BMI>30

Question 27

Osteoporosis

Answer 27

Women >65

Younger women with risk =65 year old white woman

Question 28

PKU

Answer 28

All newborns

Question 29

Preeclampsia prevention

Answer 29

Low dose aspirin after 12 weeks in high-risk women

Question 30

Rh incompatibility

Answer 30

Type and screen everyone at first prenatal visit

Repeat testing at 24-28 weeks for all Rh- women, unless father is Rh-

Question 31

TB

Answer 31

Screen for latent TB in at-risk populations

Question 32

Syphilis

Answer 32

People at increased risk

All pregnant women

Question 33

Vision screening

Answer 33

All children at least once between ages of 3-5