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Family Medicine Shelf > USPSTF Screenings Recommendations > Flashcards

USPSTF Screenings Recommendations Flashcards

1
Q

What is the test for breast cancer?

A

Mammogram

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2
Q

What is the age range and frequency for breast cancer screenings?

A

40-49 if risk factor present (FH)
50-74 (every 2 years)

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3
Q

What are risk factors for breast cancer?

A

Modifiable: HRT, Nulliparity, Increased age at first live birth, alcohol

Non-Modifiable: Genetic mutation or BC in 1st degree relative; White; Increased Age; Early Menarche or Later Menopause (excessive estrogen exposure w/o progesterone)

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4
Q

Who should be screened for Lung Cancer?

A

Current Smoker with 20 pack year history or quit within last 15 years

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5
Q

What is test to screen for lung cancer?

A

low-dose chest CT

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6
Q

At what age and frequency should lung cancer be screened for?

A

50-80 (yearly basis)

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7
Q

When should you terminate screening for lung cancer?

A

Quit > 15 years
Health problems that limit life expectancy

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8
Q

What are the tests for Colorectal Cancer?

A

FOBT or FIT
Stool FIT DNA
CT colonography
Sigmoidsocopy
Sigmoidoscopy + Annual FIT
Colonscopy

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9
Q

What is the age range for the Colorectal Cancer screening tests?

A

45-75 years

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10
Q

What is the frequency for the Colorectal Cancer Screening Tests?

A

FOBT or FIT: Yearly
Stool FIT DNA: 1-3 years
CT Colonography: 5 years
Sigmoidoscopy: 5 years
Sigmoidoscopy + Annual FIT: 10 years
Colonoscopy: 10 years

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11
Q

What is the test for screening FAP?

A

Colonoscopy

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12
Q

What is the age range and frequency for screening FAP?

A

10-12 years ( yearly basis)

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13
Q

What is the screening test for Lynch Syndrome (HNPCC)?

A

Colonoscopy

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14
Q

What is the age range and frequency for screening for Lynch Syndrome (HNPCC)?

A

20-25 years (1-2 years)

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15
Q

What is the test for screening for IBD?

A

Colonoscopy

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16
Q

What is the age range and frequency for screening for IBD?

A

8 years post diagnosis (frequency 1-2 years)

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17
Q

What constitutes family history for colorectal cancer?

A

present in primary relative at younger than age 60

18
Q

What is the screening test for someone with a family history of Colorectal cancer?

A

Colonscopy

19
Q

What is the age range and frequency for screening someone with family history of colorectal cancer?

A

40 years old or 10 years prior to diagnosis (frequency of every 3-5 years)

20
Q

What is the most common extracolonic malignancy associated with Lynch Syndrome?

A

Endometrial Cancer

21
Q

What is recommended for women with Lynch syndrome?

A

Hysterectomy with bilateral salpingo-oophorectomy at the end of childbearing age (around 40 years)

22
Q

What is the test for screening for cervical cancer?

A

Pap Smear

Pap smear + HPV test

23
Q

What is the age range and frequency for testing for cervical cancer?

A

Pap Smear: 21-29 (every 3 years)

Pap Smear + HPV test: 30-65 (cytology alone every 3 years of Cytology + HPV at 5 years)

24
Q

When do you screen someone with HIV for cervical cancer?

A

Onset of sexual intercourse, time of diagnosis, annually until 3 or more normal. Than it is routine

25
Q

When do screen someone who is immunosuppressed for Cervical Cancer?

A

Onset of sexual intercourse, annual Pap with HIV

26
Q

Bladder/Prostate Cancer screening test?

A

Bladder: not recommended (high rate false positives)

Prostate: controversial

27
Q

Who do you screen for Abdominal Aortic Aneurysm?

A

Men who have over smoked over 65 year old

28
Q

What is the screening test for Abdominal Aortic Aneurysm?

A

Abdominal Ultrasound

ultrasound is less expensive than CT/MRI

29
Q

What is the age range and frequency of screening for Abdominal Aortic Aneurysm?

A

65-75 (once)

30
Q

Who is screening for AAA not recommended for?

A

Women

31
Q

What is the screening test for Diabetes Mellitus?

A

Fasting Glucose
HbA1C
Oral Glucose Tolerance Test

32
Q

At what age range and frequency should you screen for diabetes mellitus?

A

35-70 (3 years)

33
Q

Who should be screened for DM?

A

Overweight or obese

34
Q

What is the screening test for Hyperlipidemia?

A

Lipid Panel

35
Q

What is the age range and frequency for screening for hyperlipidemia?

A

Men: 35. (5 years)
Women: 45

36
Q

What is the screening test for Diabetes, HTN, CAD, Carotid Dx, Peripheral Vascular dz, Aortic Disease

A

Lipid Panel

37
Q

What is the age range/frequency of screening for pts with Diabetes, HTN, CAD, Carotid Dx, Peripheral Vascular dz, Aortic Disease

A

> 20 y.o
every 5 years

38
Q

What is the age range/frequency for screening for hypertension

A

> 18 yo
every 2 years

39
Q

What is the test for Osteoporosis?

A

DEXA (dual energy x-ray absorptiometry

40
Q

what is the age range for screening for osteoporosis?

A

greater than or equal to 65
Less than 65 if osteoporosis and multiple risk factors (smoking, parental history hip fracture, early menopause, less than 127 lb or 58 kg)

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