Grade A screenings

Question 1

What does grade a screening mean

Answer 1

The UPSTF recommends the service. There is high certainty that the net benefit is substantial

Question 2

Providers should ____ grade a services

Answer 2

offer or provide these services

Question 3

Hypertension

Answer 3

everyone 18 to 40 screened every 3 to 5 years
everyone 40 plus should be screened annually

also screen those at increased risk annually for hypertension

Question 4

Who is considered at increased risk for hypertension

Answer 4

those who

have high normal blood pressure

those who are overweight or obese

those who are African American

Question 5

Colorectal cancer

Answer 5

screening for those aged 50 to 75 years old

the recommendation becomes a grade c for those who are aged 76 to 85 years old

Question 6

When is colorectal cancer screening over 75 most appropriate?

Answer 6

when the patient is healthy enough to undergo treatment if cancer is in fact detected,

and there are no comorbidities that would significantly reduce life expectancy

Question 7

Increased benefit in colorectal cancer screen over the age of 75 occurs when

Answer 7

it is the patients first screening (never been screened before)

Question 8

Hepatitis B

Answer 8

screening for pregnant women at 1st prenatal visit

becomes a grade B recommendation for those who are at high risk but not pregnant

Question 9

HIV

Answer 9

screen adolescents and adults aged 15 to 65 or those who are younger or older than this but are at high risk
also screen all pregnant women

Question 10

Syphilis

Answer 10

screen asymptomatic, non-pregnant adults and adolescents at increased risk
also screen all pregnant women early

Question 11

Tobacco

Answer 11

Ask all adults, including pregnant women, about tobacco use

Tobacco screening is considered a Grade B in children and adolescents

Question 12

What should you, as a provider, do after an adult screens positive for tobacco use?

Answer 12

Advise them to stop using tobacco

provide behavioral interventions

In non-pregnant adults provide approved pharmacotherapy for cessation

Question 13

What should you, as a provider, do after a child or adolescent screens positive for tobacco use?

Answer 13

provide interventions

including education or brief counseling to prevent initiation of tobacco use among school aged children and adolescents

Question 14

cervical cancer

Answer 14

in women 21 to 29 screening for cervical cancer every 3 years for cervical cytology alone

in women 30 to 65 screening every 3 years with cervical cytology alone and every 5 years for high risk human papilloma virus testing alone
or every 5 years for hrHPV test in combination with cytology