USPSTF Screening Guidelines

Question 1

What are the screening guidelines for breast cancer?

Answer 1

40-49, based on risk factors and SDM
50-74, screening mammogram every 2 years

Question 2

What are the screening guidelines for cervical cancer?

Answer 2

21-65, pap smear every 3 years OR
30-65, hrHPV test or cotesting every 5 years

Question 3

What are screening guidelines for lung cancer?

Answer 3

Annual screen with low-dose CT for pts 50-80 with 30 year pack history or quit smoking in the last 15 years.

Question 4

Would you screen someone for cervical cancer if they had a total hysterectomy?

Answer 4

No (if no hx of precancer or cervical cancer)

Question 5

What are the screening guidelines for prostate cancer?

Answer 5

Annually from 55 to 69 years.
PSA screening is individualized
>/= 70 years recommended AGAINST.

Question 6

What are the screening guidelines for testicular cancer?

Answer 6

Screening not recommended

Question 7

What are the screening guidelines for colorectal cancer?

Answer 7

Age 50 to 75 with:
High sensitivity fecal occult blood (FOBT/FIT) yearly
Cologuard (SDNA) every 1-3 years (if +, must do colonoscopy)
Sigmoidoscopy every 5 years
Colonoscopy every 10 years

76-85 years, individualize

Question 8

What are screening guidelines for skin cancer?

Answer 8

Insufficient evidence on screening.
Educate fair-skinned persons to avoid sunlight (10AM to 3PM) and use sunblock >/= SPF 15

Question 9

What are guidelines for tobacco smoking?

Answer 9

Ask about use
Advise to stop
Provide behavioral interventions or pharmacotherapy (if not pregnant) for smoking cessation

Question 10

What are screening guidelines for fall prevention in community-swelling older adults?

Answer 10

Start at adults >/= 65 years
Exercise interventions to prevent falls in adults with increased risk.

Against vit D supplementation

Question 11

What are screening guidelines for ovarian cancer?

Answer 11

Screening not recommended
High risk (BRCA mutation, family hx of breast/ovarian CA) are screened by specialist, refer to genetic counseling

Question 12

What are screening guidelines for abdominal aortic aneurysm?

Answer 12

One time abdominal ultrasound for men aged 65-75 years who smoke cigarettes or those who have quit

Question 13

What are the screening guidelines for oral cancer?

Answer 13

Screening not recommended

Question 14

What are the screening guidelines for major depressive disorder?

Answer 14

Start screening between 12-18 years.
(d/t risk of suicide)

Question 15

What are the screening guidelines for Hep C?

Answer 15

One time screen between ages 18-79

Question 16

What are the screening guidelines for HIV?

Answer 16

One time screen between ages 15-64. Screen more often for those at increased risk.

For pregnancy, screen if HIV status unknown.

Question 17

Does the USPSTF recommend screening for latent tuberculosis

Answer 17

Yes

Question 18

What are the screening guidelines for pancreatic cancer?

Answer 18

Screening not recommended

Question 19

What are the recommendations for syphilis screening in asymptomatic adults/adolescents and pregnant patients?

Answer 19

Screen people at increased risk of infection, annually for HIV infected patients.

Pregnancy - early screening for all pregnant patients

Question 20

What are the recommendations for osteoporosis screening?

Answer 20

Start at age 65 or older
May start earlier if pt has risk factors (postmenopausal, long-term steroid tx, etc.)

Question 21

What are the USPSTF guidelines for initiation of aspirin to prevent CVD and CRC?

Answer 21

Start low-dose aspirin therapy between ages 50-59 for pts at ASCVD risk of >/=10%

Question 22

What are the guidelines for total lipid screening?

Answer 22

Fasting (9 hrs) total lipid profile for adults between 40-75 yrs

Question 23

What are the guidelines to start low-to-moderate-dose statin therapy for someone w/out a hx of CVD?

Answer 23

-Age 40 to 75
-Has one or more CVD risk factor (DM, HTN, dyslipidemia, smoking)
-10 yr risk calculation of >/=10%