USPSTF Screenings Recommendations Flashcards
What is the test for breast cancer?
Mammogram
What is the age range and frequency for breast cancer screenings?
40-49 if risk factor present (FH)
50-74 (every 2 years)
What are risk factors for breast cancer?
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)
Who should be screened for Lung Cancer?
Current Smoker with 20 pack year history or quit within last 15 years
What is test to screen for lung cancer?
low-dose chest CT
At what age and frequency should lung cancer be screened for?
50-80 (yearly basis)
When should you terminate screening for lung cancer?
Quit > 15 years
Health problems that limit life expectancy
What are the tests for Colorectal Cancer?
FOBT or FIT
Stool FIT DNA
CT colonography
Sigmoidsocopy
Sigmoidoscopy + Annual FIT
Colonscopy
What is the age range for the Colorectal Cancer screening tests?
45-75 years
What is the frequency for the Colorectal Cancer Screening Tests?
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
What is the test for screening FAP?
Colonoscopy
What is the age range and frequency for screening FAP?
10-12 years ( yearly basis)
What is the screening test for Lynch Syndrome (HNPCC)?
Colonoscopy
What is the age range and frequency for screening for Lynch Syndrome (HNPCC)?
20-25 years (1-2 years)
What is the test for screening for IBD?
Colonoscopy
What is the age range and frequency for screening for IBD?
8 years post diagnosis (frequency 1-2 years)
What constitutes family history for colorectal cancer?
present in primary relative at younger than age 60
What is the screening test for someone with a family history of Colorectal cancer?
Colonscopy
What is the age range and frequency for screening someone with family history of colorectal cancer?
40 years old or 10 years prior to diagnosis (frequency of every 3-5 years)
What is the most common extracolonic malignancy associated with Lynch Syndrome?
Endometrial Cancer
What is recommended for women with Lynch syndrome?
Hysterectomy with bilateral salpingo-oophorectomy at the end of childbearing age (around 40 years)
What is the test for screening for cervical cancer?
Pap Smear
Pap smear + HPV test
What is the age range and frequency for testing for cervical cancer?
Pap Smear: 21-29 (every 3 years)
Pap Smear + HPV test: 30-65 (cytology alone every 3 years of Cytology + HPV at 5 years)
When do you screen someone with HIV for cervical cancer?
Onset of sexual intercourse, time of diagnosis, annually until 3 or more normal. Than it is routine
When do screen someone who is immunosuppressed for Cervical Cancer?
Onset of sexual intercourse, annual Pap with HIV
Bladder/Prostate Cancer screening test?
Bladder: not recommended (high rate false positives)
Prostate: controversial
Who do you screen for Abdominal Aortic Aneurysm?
Men who have over smoked over 65 year old
What is the screening test for Abdominal Aortic Aneurysm?
Abdominal Ultrasound
ultrasound is less expensive than CT/MRI
What is the age range and frequency of screening for Abdominal Aortic Aneurysm?
65-75 (once)
Who is screening for AAA not recommended for?
Women
What is the screening test for Diabetes Mellitus?
Fasting Glucose
HbA1C
Oral Glucose Tolerance Test
At what age range and frequency should you screen for diabetes mellitus?
35-70 (3 years)
Who should be screened for DM?
Overweight or obese
What is the screening test for Hyperlipidemia?
Lipid Panel
What is the age range and frequency for screening for hyperlipidemia?
Men: 35. (5 years)
Women: 45
What is the screening test for Diabetes, HTN, CAD, Carotid Dx, Peripheral Vascular dz, Aortic Disease
Lipid Panel
What is the age range/frequency of screening for pts with Diabetes, HTN, CAD, Carotid Dx, Peripheral Vascular dz, Aortic Disease
> 20 y.o
every 5 years
What is the age range/frequency for screening for hypertension
> 18 yo
every 2 years
What is the test for Osteoporosis?
DEXA (dual energy x-ray absorptiometry
what is the age range for screening for osteoporosis?
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)
