Screening programmes Flashcards
Who is eligible for AAA screening?
Men who turn 65 in the ‘screening year’ (Apr - Mar)
Define the diameters of normal AA, small / medium / large AAA
And what follow up should be arranged?
Normal = <3 cm, no follow up
Small AAA = 3 - 4.4 cm, 12 monthly scan
Medium AAA = 4.5 - 5.4 cm, 3 monthly scan
Large AAA = 5.5 cm+, 2ww vascular referral
Which AAA are low risk?
- 5.4cm or less
- Asymptomatic
Which are high risk AAA?
- Symptomatic
- 5.5cm and over
- Enlarging at rate 1cm/year
Refer these via 2ww vascular
Who is eligible for the bowel screening programme?
Men and women aged 60 - 74
Offered every 2 years
People aged 75+ can request screening every 2 years
What test is used to screen people for bowel cancer?
What is the process if the test is abnormal?
FIT- fecal immunochemical test
People who return an abnormal FIT test will be invited for colonoscopy
What are the lab cut offs for qFIT in asymptomatic vs symptomatic patients?
Asymptomatic (>=80 scotland, >=120 England)
Symptomatic >=10
Who is invited to the breast screening programme?
How frequently?
Women aged 50 - 70 (should receive an invitation within 3 years of turning 50)
3 yearly
What test is used for breast screening?
Mammography radiography
Who is invited to take part in the cervical screening programme?
Women and people with a cervix aged 25 - 64
- First invitation sent age 24.5 to aim for first screening completed by 25th birthday
- 25 - 49 recalled every 3 years
- 50 - 64 recalled every 5 years
- Also, people aged 65+ with recent abnormal cytology will be invited
- Those who have not had screening since age 50 will be eligible if they request one
What test is used for the cervical screening programme?
- Cervical smear test for HPV- identifies people with high risk HPV (HPV 16 or 18)
- If high risk HPV identified (or persistent infection with medium risk HPV), liquid based cytology performed to detect early abnormalities of the cervix
- If abnormal cytology, colposcopy will be offered to diagnose CIN (cervical intraepithelial neoplasia) and differentiate high-grade v low-grade abnormalities
Who is eligible for diabetic eye screening?
Everyone aged 12+ with diabetes
What is the test for diabetic eye screening?
What are the follow up screening / referral outcomes?
Photographs taken of the retina
- Normal retina - Re-invite for screening in 12 - 24 months
*Ungradeable images - Refer for slitlamp biomicroscopy, remove from screening
- Diabetic retinopathy diagnosed
- either refer for digital surveillance and remove from screening
- or refer to hospital eye service and remove from screening
Which conditions are screened for the fetal anomaly screening programme?
- Down’s syndrome T21
- Edward’s syndrome T18
- Patau’s syndrome T13
What is the screening test for the fetal anomaly screening programme?
- Combined test (10 - 14 weeks gestation) = USS for nuchal translucency + Bloods
Combined test used to screen for Down’s, Edward’s and Patau’s
Use Age + USS + bloods to calculate risk - Quadruple blood screening test
When nuchal translucency unable to be measured. This only screens for Down’s - 20 week screening scan
When missed opportunity to do combined test (after 14 weeks) an USS can look for Edward’s and Patau’s
