Uspstf A B D Recommendations Flashcards
T or F: you can screen for carotid stenosis by listening to bruits in patients that are asymptomatic.
False, don't screen using any method (grade D)
Can you at bacterial vaginosis screen to G/C pre-pregnancy screening?
No, this is grade D
A man has a 10 pack year history of smoking and is 60 years old. He has no symptoms indicating pulmonary pathology. Can you screen him for COPD using spirometry?
Nope (grade D) - spirometry is reserved for symptomatic patients
T or F: Exercise electrocardiography can be used as a screening method for CAD in asymptomatic or low risk patients.
False. (grade D)
In children 1 to 5 should not be screened for _______ if they are not symptomatic?
Lead (grade D) - if they are at high risk for lead exposure the evidence is still I
When should a pregnant woman be screened for lead?
Never if they are asymptomatic (grade D)
Women who have had a hysterectomy shouldn't use _________ in the treatment of any of their chronic conditions.
Estrogen (grade D)
USPSTF recommends <b>against</b> the use of __________ and _______ in the treatment of conditions in postmenopausal women. (grade D)
USPSTF recommends <b>against</b> the use of <b>Estrogen </b>and <b>Progestins</b> in the treatment of conditions in postmenopausal women. <b>(grade D) </b>
Women at what age should be screened for ovarian cancer?
No Age, USPSTF advises against this (Grade D)
How should pancreatic cancer screening be performed in asymptomatic adults?
DON'T DO IT by any method (grade D)
Can PSA be used as a screening technique for prostate cancer?
Nope (Grade D)
T or F: adult and adolescent men should be screened at age 25 for testicular cancer.
False, DO NOT screen for this in adult of adolescent men (grade D)
What is the USPSTF recommendation for thyroid cancer screening in adults?
DONT DO IT if they're asymptomatic (grade D)
Children between __ and __ must be screened for vision to detect amblyopia or its risk factors.
Children between <b>3</b> <b>and 5</b> must be screened for vision to detect amblyopia or its risk factors. (grade B)
When should you screen for CVD in an asymptomatic person according to the USPSTF?
<div>All of the following criteria must be met: </div>1. If they are 40 to 75 years old <div>2. They have 1 or more CVD risk factors (DM, HTN, Smoking, dyslipidemia) </div><div>3. Calculated 10 yr cardiovascular incident risk > 10%</div><div><br /></div><div><br /></div><div>***this means you must screen everyone 40-75 for cholesterol to assess need to screen for CVD***</div><div><br /></div><div>(Grade B) </div><div><br /></div>
Who should be reminded to wear sunscreen/minimizing UV exposure?
Fair skinned adults 10-24<div><br /></div><div>(Grade B) </div>
T or F: we should counsel high risk adolescents on risky sexual behavior.
True (grade B)
T or F: After 20 wks of no HTN in pregnancy pre-eclampsia screening should be discontinued.
False, should continue screening throughout pregnancy (Also, you can only screen for gestational HTN after 20 wks, before this time HTN is not related to pregnancy) <div><br /></div><div>(Grade B) </div>
Who should be screened for osteoporosis?
Women 65 and up<div><br /></div><div>Women who have fracture risk equal to (or greater) than a 65 yr old white woman. </div><div><br /></div><div>(Grade B) </div>
What is the recommendation for screening for obesity in children? <br />
(Grade B) <br /><br /><div>6 and up refer to intensive multicomponent behavioral modification</div><div><br /></div><div>**Remember Obesity in kids is defined as<b> ≥ 95th percentile for BMI</b> (overwt. is the 85th percentile) </div>
All adults should be screened for obestity (BMI ≥ 30); what should you do if positive?
(Grade B) <br />• Refer to intensive multicomponent behavioral interventions
Who should be screened for lung cancer and how?
<div>(Grade B) </div>WHO: Adults <b>55-80</b> with a <b>30 pack year hx </b>of smoking who have <b>smoked in the last 15 years </b><div><b><br /></b></div><div>HOW: <b>Low dose CT </b></div><div><b><br /></b></div><div>**Clearly don't do this if patient is about to die from something else </div>
What medications may help to reduce complications in women at high risk of pre-eclampsia, and when should this treatment be initiated?
<b>12 weeks start taking 81mg ASA (grade B) </b><div><b><br /></b></div><div>**Note: risk factors include Previous hx, PCOS, HTN, Metabolic synd, etc. </div>
TB should be screened for in:
Populations at increased risk (e.g. prison/institutionalized, immunocompromised, elderly, immigrants, medical professionals, etc.) <div><br /></div><div>(grade B) </div>
T or F: all women of childbearing age should be screened for intimate partner violence.
True, offer referal for help if positive (grade B)
Hepatitis B and C should be screened for in all high risk patients, however, hepatitis ___ testing should be offered to all patients born between 1945 and 1965.
<b>Hep C tests for everyone 1945-1965 </b><div><b><br /></b></div><div>(grade B) </div>
After ___ weeks of gestation the USPTF recommends screening for gestational diabetes.
After <b>24 weeks</b> of gestation the USPTF recommends screening for gestational diabetes. <div><br /></div><div>(grade B) </div>
What preventative measures should be taken to prevent falls in adults 65 and over?
• Promote Physical activity (exercise/therapy) <br />• Vitamin D supplmentation <div><br /></div><div>(grade B) </div>
Who should be screened for depression according to USPTF?
Everyone 12 and up, especially pregnant and post-pardum women (grade B)
USPTF recommends primary care physicians applying ______________ as soon as primary teeth erupt.
USPTF recommends primary care physicians applying <b>fluoride varnish </b> as soon as primary teeth erupt. (grade B)
When should fluoride supplementation begin in children who have a water source deficient in fluoride?
6 months (grade B)
What screening should be done for women who have a family history of breast, ovarian, tubal, or peritoneal cancer?
Genetic Screening for BRCA 1/2 mutations with referral to genetics if positive (grade B)
Who should we screen for chlamydia in? gonorrhea?
<div>Same for both...</div><div><br /></div>Sexually active <i>women</i> <b>under 24 </b><div><b>Older </b>women at<b> increased risk</b> for infection </div><div><br /></div><div>(grade B) </div>
In what patients does the USPTF recommend we initiate prophylactic dialy ASA to reduce CVD risk?
<b>50-59 </b>with <b>CVD risk of 10%</b> in <b>10 yrs</b> who also: <br />• Don't have <b>bleeding risk</b><div>• Have <b>life expectancy > 10 yrs </b></div><div>• <b>Willing </b>to take ASA daily for 10 yrs </div>
What is the USPTF recommendation regarding breastfeeding in new moms?
(grade B) We need to provide interventions after pregnancy to facilitate this
What women should get mammograms? how often?
<b>Women 50-74 </b>should get a mammogram <b>every two years</b> (grade B)
What should you do for women that are at increased risk of cancer, but reduced risk of adverse effects from medication?
Put them on <b>Raloxifene or Tamoxifen </b>to reduce BC risk (grade B)
According to USPTF what should we do if we find someone that is 18 or over and engaging in XS drinking?
Brief behavioral intervention and counseling to discourage alcohol misuse
In what populations should we screen for alcohol misuse?
<b>18 </b>and up (USPTF grade B)
What does the USPTF suggest you do if you screen someone that is 40-70 and their blood glucose is abnormally high?
Intensive behavioral interventions to promote a healthier lifestyle with improved diet and more physical activity
What population should be screened for abnormal blood glucose as a part of the cardiovascular risk screening?
40-70 year olds that are Overweight (BMI > 25)/Obese (BMI > 30)
Who should be screened for AAA?
<b><u>Men</u> 65-75 </b>who have ever smoked (USPTF grade B)
At what ages should colorectal screening be performed?
<b>50-75 colonoscopy</b> (grade A)
T or F: All pregnant women should be screened for syphillus infection.
True, USPTF grade A
What are the USPTF recommendations for cervical cancer screening?
<div>(USPTF grade A) </div><b>21-65 yrs</b> get checked with pap only every <b>3 yrs</b> <div><b>30-65 yrs</b> if pap + HPV test then every <b>5 yrs </b></div>
In which population should syphillus screening be performed?
All asymptomatic and non-pregnant adults who are at increased risk of infection (USTPF grade A)
In an unsensitized Rh negative woman, who often/when should she be re-tested for antibodies against RhD?
(USTPF grade B) <b>24-28 wks you should re-check status UNLESS the father is known to be Rh-negative </b>
When should pregnant women undergo RhD antibody testing?
ALL women should get this as well as blood typing at there <b>first prenatal visit (</b>Grade <b>A) </b>
Which newborns should get topical ocular treatment for gonorrhea prophylaxis?
ALL of them (USTPF grade A)
What are the grade A recommendations by the USPTF regarding HIV testing?
Test EVERYONE between <b>15-65 </b><div>Test ALL <b>pregnant women, </b>even if they present for the 1st time in labor and their HIV status is unknown <br /><div>Test HIGH RISK above or below this threshold (prison, MSM, IVDU, etc.) </div><div><br /></div></div>
The USPTF recommends screening for HTN in all patients ___ or older.
(<b>Grade A) 18 and up; </b>confirm in office HTN with home measurement
USPTF recommends screening for Hepatitis ___ in ALL women at 1st prenatal visit.
Hep B screening <b>(grade A) </b>
USPTF recommends folic acid supplement in or 400-800mg in which people?
<b>(grade A) all women of reproductive age </b>
USPTF recommends screening for asymptomatic bacteriuria with urine culture for which people?
<b>(grade A) Pregnant women 12-16 wks</b> or at their 1st prenatal visit if it is after this time <div><br /></div>
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