Well/visits screening Flashcards
What is screening?
looking for a specific disease that is in a pre-symptomatic state
How do we know when to screen?
- seriousness
- effectiveness
- epidemiology
- availability of treatment
- Test cost, ease of testing, sensitivity, specificity
If you are going to screen for a disease the disease should be (blank)
serious (i.e cause significant morbidity/mortality)
There must be benefit of early detection for a disease with screeening. what does this mean?
there must be some therapy or intervention that is effective when the disease is found early
T or F
screening for rare diseases leads to many false positive test results
T
What is a rare disease that we screen for?
PKU
What is a very common disease that we screen for?
dental carries
Which would you rather have, sensitivity (true positives) or specificity?
sensitivity
T or F
all screening causes harm
T, must make sure the benefit will outweight this
when shoud you start screening people for HTN?
18
WHen should you screen for lipids?
all males over 34
and anyone over 20 who are at risk
What is the most common cause of cancer death?
lung cancer
When do you screen for lung cancer?
use LDCT in people age 55-80 with a 30 pack-year smoking history and currently smoke or have quit within the past 15 years.
When do you screen patients for type II diabetes?
in patients with HTN greater than 135/85
When do you screen patients for breast cancer?
Biennial screening MMG ages 50-74 for women
Should you recommend that your patients do self breast exams?
NO!
What does the ACA tell you to do about breast cancer screaning?
every year at age 40
get breast exams every 3 years in 20s and 30s
After 40 get CBE every year
Self breast exams are optional starting at age 20
How shoud you screen color-rectal cancer?
screen men and women age 50-75 for colorectal cancer
-recommend against screening over age 85
(insufficient evidence for CT or fectal DNA tests)
When should you test for chlamydia and gonorrhea?
all women 24 and younger who are sexually active and all women no matter the age who are at high risk
How do we screen for HIV
recommends all adolescents age 15-65
How do we screen for cervical cancer?
all women 21-65 with a PAP (cytology) smear every 3 years
Ages 30-65 can use combination of PAP and HPV testing every 5 years
How do we screen for prostate cancer?
recommended to not do this-> dont test PSA
What is the most common cause of cancer in men?
prostate cancer
IS there a screening for Abdominal Aortic Aneurysm?
yes, a one time screening with ultrasonography is men aged 65-75 who have ever smoked
WHat should you not screen?
thryoid disease liver disease kidney disease bladder cancer ovarian cancer vit D deficiency
Look at recommendations on USPSTF for lung, prostate, breast, colon and cervical cancer.
do this
