Screening/Preventative Health Topics

Question 1

Lung cancer screening recs

Answer 1

-Annual low dose chest CT for patients 50-74 with smoking history (>/= 20 pack years within the last 15 years)
- Stop screening after age 75, if patient has quit smoking for >/=15 years, or pt has other comorbidities that significantly limit lifespan

Question 2

Dyslipidemia USPSTF recommendations

Answer 2

Screen once age 11-12, and again at age 17-19 for ALL average risk patients

Question 3

Depression screening recs for kids

Answer 3

Annual screening for all kids age 12-18 with PHQ-2

Question 4

Lead poisoning screenings recs

Answer 4

Targeted screening for high risk (known lead exposure, older homes) in infants aged 12-24 months but no routine screening otherwise

Question 5

Which of the following patients should receive the zoster vaccine?

A) A 26 y/o pregnant patient
B) A 56 y/o F with h/o of GBS
C) A 61 y/o M with an egg allergy
D) A 7 y/o boy with asthma
E) A 75 y/o M receiving treatment for Hodgkin lymphoma

Answer 5

C – no egg contained in the zoster vaccine

A – zoster is a live vaccine and should NOT be given during pregnancy, and is only indicated in patients > 50 y/o or > 19 y/o PLUS immunocompromised
B – possible association between Zoster vaccine and development of GBS
D – should receive MR=MR vaccine at this age, not Zoster
E –malignancy involving the bone marrow or lymphatics is contraindicated for Zoster vaccine administration d/t risk of developing disseminated VZV