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Flashcards in Guidelines Deck (7):
1

70 y/o Male
Hx of smoking > 30 yrs
Quit 10 yrs ago

USPSTF guidelines for lung cancer for this PT?

Low dose CT non contrast annually
- do if between 55-80 yrs; smoked > 30 pack yrs
1. current smoker OR
2. Quit within 15 yrs

2

25 y/o female; no medical care within 5 yrs
USPSTF GUIDELINES ON PAP SMEAR?

21-29 Y/O at average risk- do cytology q3 yrs
No recommendation for HPV so order Reflex

30-65 y/o at average risk --> may be screened with cytology with HPV every 5 yrs or cytology alone every 3 yrs.

3

12 y/o old boy
Up to date with shot at 6 yrs of age
What vaccine to give?

What vaccine not to give?

1. Tdap
2. HPV
3. Flu
4. Meningococcal


1. Varicella - not given after 6
2. DTAP

4

65 y/o healthy female coming in for health maintenance.
No record of Pneumococcal vaccine
What to give?

Give PCV 13 now then PPSV23 after 1 yr!

5

USPSTF guide lines for fluoride supplementation in water supply deficient in fluoride.
What age?

Starting at 6 months

6

70 y/o man
Smoked may yr but quit 10 yrs ago
How to screen for AAA?

One time conventional Abdominal duplex US for men age 65-75 who smoked more than 100 sticks

7

Patient with toenail yellowing, thickening, brittle. Whats nxt?

Do KOH, Culture or PAS stain to confirm Onychomycosis before treatment with Terbinafine per AAD