Screening Guidelines

Question 1

CRC

Answer 1

• Start at 50, stop at 75, q 10yrs

- Or start 10 years before first degree relative got CRC

Question 2

Breast Ca

Answer 2

Start 50, stop 73, q 1-2 yrs

-Mammogram +/- clinical exam

Question 3

Cervical Ca

Answer 3

• Paps at age 21, repeat if normal q 3

- At age 30 do pap + HPV screening q5 (or pap w/o HPV q3)

Question 4

AAA

Answer 4

Screen one time if ever-smoker ages 66-75 (abd US)

Question 5

HLD

Answer 5

• Men: >35 yrs
• Women >45 yrs
• 20yrs if DM, Hx premature CAD, familial HLD, numerous RFs

Question 6

HIV

Answer 6

-age 15-65

Question 7

Chlamydia

Answer 7

• sexually active women <24

- Other asymptomatic women at increased risk

Question 8

Osteoporosis

Answer 8

-women >65 w DEXA

Question 9

Diabetes

Answer 9

• all adults > 45 q3 years

- Before if pt obese or risk factor (not white, fam hx, hx of gestational diabetes, PCOS, HTN)

Question 10

What to screen in Diabetic pits

Answer 10

• HbA1c q3mos. Goal 100

- BP every visit. ACE or ARB if >130/80

Question 11

USPSTF screening grades

Answer 11

A - strongly recommended. Good evidence that benefit > harm
B - recommended. At least fair evidence that benefit > harm
C - Neither. Improves outcomes but benefit ~ harm
D - Not recommended. At least fair evidence that harm > benefit
I - insufficient evidence