Well/visits screening

Question 1

What is screening?

Answer 1

looking for a specific disease that is in a pre-symptomatic state

Question 2

How do we know when to screen?

Answer 2

• seriousness
• effectiveness
• epidemiology
• availability of treatment
• Test cost, ease of testing, sensitivity, specificity

Question 3

If you are going to screen for a disease the disease should be (blank)

Answer 3

serious (i.e cause significant morbidity/mortality)

Question 4

There must be benefit of early detection for a disease with screeening. what does this mean?

Answer 4

there must be some therapy or intervention that is effective when the disease is found early

Question 5

T or F

screening for rare diseases leads to many false positive test results

Answer 5

T

Question 6

What is a rare disease that we screen for?

Answer 6

PKU

Question 7

What is a very common disease that we screen for?

Answer 7

dental carries

Question 8

Which would you rather have, sensitivity (true positives) or specificity?

Answer 8

sensitivity

Question 9

T or F

all screening causes harm

Answer 9

T, must make sure the benefit will outweight this

Question 10

when shoud you start screening people for HTN?

Answer 10

18

Question 11

WHen should you screen for lipids?

Answer 11

all males over 34

and anyone over 20 who are at risk

Question 12

What is the most common cause of cancer death?

Answer 12

lung cancer

Question 13

When do you screen for lung cancer?

Answer 13

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.

Question 14

When do you screen patients for type II diabetes?

Answer 14

in patients with HTN greater than 135/85

Question 15

When do you screen patients for breast cancer?

Answer 15

Biennial screening MMG ages 50-74 for women

Question 16

Should you recommend that your patients do self breast exams?

Answer 16

NO!

Question 17

What does the ACA tell you to do about breast cancer screaning?

Answer 17

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

Question 18

How shoud you screen color-rectal cancer?

Answer 18

screen men and women age 50-75 for colorectal cancer
-recommend against screening over age 85
(insufficient evidence for CT or fectal DNA tests)

Question 19

When should you test for chlamydia and gonorrhea?

Answer 19

all women 24 and younger who are sexually active and all women no matter the age who are at high risk

Question 20

How do we screen for HIV

Answer 20

recommends all adolescents age 15-65

Question 21

How do we screen for cervical cancer?

Answer 21

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

Question 22

How do we screen for prostate cancer?

Answer 22

recommended to not do this-> dont test PSA

Question 23

What is the most common cause of cancer in men?

Answer 23

prostate cancer

Question 24

IS there a screening for Abdominal Aortic Aneurysm?

Answer 24

yes, a one time screening with ultrasonography is men aged 65-75 who have ever smoked

Question 25

WHat should you not screen?

Answer 25

thryoid disease
liver disease
kidney disease
bladder cancer
ovarian cancer
vit D deficiency

Question 26

Look at recommendations on USPSTF for lung, prostate, breast, colon and cervical cancer.

Answer 26

do this