USPSTF screening Flashcards

1
Q

Abdominal aortic aneurysm screening

A

B: one-time screening for abdominal aortic aneurysm by ultrasonography in MEN ages 65 to 75 years who have ever smoked.

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2
Q

Alcohol misuse: screening and counseling

A

B: screen adults age 18 years or older 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 as primary prevention

A

B: initiate 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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4
Q

Bacteriuria of pregnancy screening

A

A: screening for asymptomatic bacteriuria with urine culture in pregnant women at 12 to 16 weeks’ gestation or at the first prenatal visit, if later.

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5
Q

Blood pressure screening

A

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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6
Q

BRCA risk assessment and genetic counseling/testing

A

B: screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with one of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). 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

B: engage in shared, informed decision making with women who are at increased risk for breast cancer about medications to reduce their risk. For women who are at increased risk for breast cancer and at low risk for adverse medication effects, clinicians should offer to prescribe risk-reducing medications, such as tamoxifen or raloxifene.

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8
Q

Breast cancer screening

A

B: 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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9
Q

Breastfeeding interventions

A

B: providing interventions during pregnancy and after birth to support breastfeeding.

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10
Q

Cervical cancer screening

A

A: screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. For women aged 30 to 65 years, the USPSTF recommends 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 (cotesting).

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11
Q

Chlamydia screening

A

B: 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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12
Q

Colorectal cancer screening

A

A: screening for colorectal cancer starting at age 50 years and continuing until age 75 years.

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13
Q

Dental caries prevention (infant to 5 yo)

A

B: 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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14
Q

Adolescent depression screening

A

B: 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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15
Q

Adult depression screening

A

B: creening 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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16
Q

Diabetes screening

A

B: 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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17
Q

Fall prevention in elderly

A

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

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18
Q

Folic acid supplementation

A

A: 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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19
Q

Gestational diabetes screening

A

B: screening for gestational diabetes mellitus in asymptomatic pregnant women after 24 weeks of gestation.

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20
Q

Gonorrhea prophylaxis in newborns

A

A: prophylactic ocular topical medication for all newborns for the prevention of gonococcal ophthalmia neonatorum.

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21
Q

Gonorrhea screening

A

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

22
Q

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

A

B: 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.

23
Q

Newborn hemoglobinopathy screening

A

A: screening for sickle cell disease in newborns.

24
Q

HepB screening in nonpregnant adolescents and adults

A

B: screening for hepatitis B virus infection in persons at high risk for infection.

25
Q

HepB screening in pregnant women

A

A: screening for hepatitis B virus infection in pregnant women at their first prenatal visit.

26
Q

HepC screening

A

B: 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.

27
Q

HIV screening nonpregnant adolescents and adults

A

A: screen for HIV infection in adolescents and adults ages 15 to 65 years. Younger adolescents and older adults who are at increased risk should also be screened.

28
Q

HIV screening in pregnant women

A

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

29
Q

Congenital hypothyroidism screening

A

A: screening for congenital hypothyroidism in newborns.

30
Q

Intimate partner violence screening

A

B; screen women of childbearing age for intimate partner violence, such as domestic violence, and provide or refer women who screen positive to intervention services. This recommendation applies to women who do not have signs or symptoms of abuse.

31
Q

Lung cancer screening

A

B: 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

B: screening all adults for obesity. Clinicians should offer or refer patients with a body mass index of 30 kg/m2 or higher to intensive, multicomponent behavioral interventions.

33
Q

Obesity screening and counseling (kids)

A

B: 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

B: 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

B: screening for osteoporosis with bone measurement testing to prevent osteoporotic fractures in women 65 years and older.

36
Q

Newborn PKU screening

A

B: screening for phenylketonuria in newborns.

37
Q

Aspirin for pre-eclampsia prevention

A

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

38
Q

Pre-eclampsia screening

A

B: screening for preeclampsia in pregnant women with blood pressure measurements throughout pregnancy.

39
Q

Rh incompatibility screen at first pregnancy visit

A

A: Rh (D) blood typing and antibody testing for all pregnant women during their first visit for pregnancy-related care.

40
Q

Rh incompatibility screening at 24-28 weeks gestation

A

B: 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.

41
Q

Sexually transmitted infections counseling

A

B: intensive behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections.

42
Q

Skin cancer behavioral counseling

A

B: 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.

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

B: 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.

44
Q

Syphilis screening in nonpregnant persons

A

A: screening for syphilis infection in persons who are at increased risk for infection.

45
Q

Syphilis screening in pregnant women

A

A: early screening for syphilis infection in all pregnant women.

46
Q

Tobacco use counseling and interventions: nonpregnant adults

A

A: 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.

47
Q

Tobacco use counseling: pregnant women

A

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.

48
Q

Tobacco use interventions: children and adolescents

A

B: provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents.

49
Q

Adult tuberculosis screening

A

B: screening for latent tuberculosis infection in populations at increased risk.

50
Q

Vision screening (children)

A

B: vision screening at least once in all children ages 3 to 5 years to detect amblyopia or its risk factors.