Screening

Question 1

Mammo

Answer 1

q1-2 yrs for 50-74 (if life expectancy > 10 yr)

- USPSTF = 2 years

Question 2

Pap only & Pap+HPV

Answer 2

q3y for 21-65 (if results negative) and q5y (offering for > 30)

Question 3

DEXA for Osteoperosis

Answer 3

> 65 y and elder, or younger female with incresaed risk of fractures

• If normal or mild osteopenia, repeat in 15 yrs
• if moderate, repeat in 3-5 yrs
• If advanced, repeat in 2 years

Question 4

Colon

Answer 4

q10y, 50-75

Question 5

PSA

Answer 5

not recommended by CDC or USPSTF

Question 6

AAA

Answer 6

with U/S 65-75 male smoker or fam hx of AAA

Question 7

Low dose CT scan (LDCT) for lung cancer

Answer 7

55-80 yr if smoke > 30 pack-yrs (current smokers or quit within 15 yrs)

Question 8

Lipid

Answer 8

q5y, men > 35, women > 45

Question 9

Fasting glucose/2hr GGT/A1c

Answer 9

q3y, all genders > 45 or any one with bp > 135/80

Question 10

TSH

Answer 10

no longer recommended

Question 11

HIV

Answer 11

1 time in adulthood

Question 12

hepatitis C

Answer 12

when born 1945-65

Question 13

BP

Answer 13

Annual

Question 14

Weight, Height

Answer 14

Annual

Question 15

Vision

Answer 15

Annual

Question 16

EtOH & Tobacco

Answer 16

Annual

Question 17

Depression

Answer 17

Annual

Question 18

ASA to prevent CVD and CR Ca in age 50-59

Answer 18

Low-dose ASA if risk > 10% for all genders 50-59 yrs

Question 19

ASA to prevent CVD and CR Ca in age 60-69

Answer 19

based on individual risk of CVD versus risk of bleeding

Question 20

Screening turning 50 yr

Answer 20

Female: Mammo, Colon
Male: Colon

Question 21

Screening turning 65 yr

Answer 21

Female: DEXA, AAA
Male: AAA
Stop screening: Pap
Pneumovax

Question 22

Screening turning 75 yr

Answer 22

Stop: Mammo, Colon, AAA,

Question 23

Calcium + Vitamin D

Answer 23

• Ok for community-dwelling elderly > 65, at increased risk of falls
• Other ages not recommended, inc risk renal stone

Question 24

At age 60 yo

Answer 24

Zoster (in immunocompetent individual)

Question 25

Zoster

Answer 25

Age 60 for immunocompetent

Question 26

Pneumovax

Answer 26

Age 65, unless > 60 patients with chronic lung, liver, CVD, and CKD

Question 27

PCV13

Answer 27

- All adult > 65 - Immunocompromised patient (HIV infection, organ transplantation, leukemia, lymphoma, and severe kidney disease) > 19 yo

Question 28

PPSV23

Answer 28

- All adult > 65 | - Smoker or Asthma pt > 19 yo

Question 29

Tadp

Answer 29

once in adult lifetime

Question 30

Td

Answer 30

q10y

Question 31

Influenza

Answer 31

Annual