1: USPST Grading and Recommendations

Question 1

Cervicl cx is Grade D for which 4 populations?

Answer 1

1. Women <21 yo.
2. Women >65 who have been screened adequately and are not at increased risk of cervical cx.
3. Women with complete hysterectomies and no hx of high-grade precx lesions or cervical cx.
4. Women <30 with HPV testing.

Question 2

HTN is Grade I for who?

Answer 2

Children and adolescents

Question 3

Depression is Grade B for who?

Answer 3

All adults

Question 4

High or moderate degree of certainty that it has no net benefit or has net harm.

Answer 4

Grade D

Question 5

Lung cx is a Grade B for who?

Answer 5

All women 55-80 yo who smoke or smoked 30ppy within the past 15 years.

Question 6

High degree of certainty that the net benefit is substantial.

Answer 6

Grade A

Question 7

Essential

Answer 7

Grade A/B

Question 8

Small net benefit.

Answer 8

Grade C

Question 9

HTN is Grade A for who?

Answer 9

All adults 18+

Question 10

Osteoporosis is Grade B for who?

Answer 10

Women 65+ Younger women with a 10-year fracture risk of 9.3% or greater

Question 11

Height/weight is Grade B for who?

Answer 11

All adults and adolescents

Question 12

Recommends against use.

Answer 12

Grade D

Question 13

Digital vs. film mammography is what grade?

Answer 13

Grade I

Question 14

BRCA is a Grade D for who?

Answer 14

Anyone without family hx.

Question 15

Moderate degree of certainty that the net benefit is substantial.

Answer 15

Grade B

Question 16

Alcohol misuse is Grade B for which group?

Answer 16

All adults age 18+

Question 17

Hep B is a Grade A for who?

Answer 17

All pregnant women

Question 18

Hep C is Grade B for who?

Answer 18

All adults born between 1945-1965 and anyone at increased risk.

Question 19

BRCA is Grade B for who?

Answer 19

Women with a family hx associated with an increased risk for BRCA gene mutations.

Question 20

Not for routine use. May be justified for certain individuals.

Answer 20

Grade C

Question 21

IPV is Grade B for who?

Answer 21

All women of childbearing age (14-46 yo)

Question 22

Cervical cx is Grade A for who?

Answer 22

All women 21-65 yo

Question 23

Breast self-exam is what grade?

Answer 23

Grade D

Question 24

Colorectal is Grade C for who?

Answer 24

76-85 yo

Question 25

Breast cx is Grade B for who?

Answer 25

Women 50-75 yo

Question 26

Syphilis is Grade A for who?

Answer 26

All persons at increased risk and all pregnant women

Question 27

Colorectal is Grade D for who?

Answer 27

85+

Question 28

Alcohol misuse is Grade I for which group?

Answer 28

<18 yo

Question 29

Colorectal screening methods of fecal DNA testing and computerized tomography colonography (CTC) are what grades?

Answer 29

Grade I

Question 30

No recommendation.

Answer 30

I Statement

Question 31

What are the recommendations for screening 20+, no risk factors, for lipid disorders?

Answer 31

No recommendations either way.

Question 32

Lipid disorders is Grade B for who?

Answer 32

Ages 20-44 with risk factors.

Question 33

Tobacco is Grade A for who?

Answer 33

All adults

Question 34

Clinical breast exam is what grade?

Answer 34

Grade I (insufficient evidence on effects on breast cx mortality)

Question 35

DMT2 is Grade B for who?

Answer 35

All adults between 40-70 who are overweight or obese. Earlier screening for those with additional risk factors.

Question 36

Colorectal cx is Grade A for who?

Answer 36

Adults 50-75 yo

Question 37

Hep B is a Grade B for who?

Answer 37

All adolescents and adults at increased risk.

Question 38

HIV is Grade A for who?

Answer 38

All adults 15-65 yo and younger adolescents and older adults at increased risk for infx and all pregnant women.

Question 39

Lipid disorders is Grade A for who?

Answer 39

Women 45+ yo ONLY if they are at increased risk for coronary heart dx (CHD).

Question 40

Chlamydia and gonorrhea testing is Grade B for who?

Answer 40

All sexually active women 24 or younger and women 24+ who are at risk for STI.