STEP2:ROUTINE SCREEN Flashcards
(22 cards)
What is the screening test for breast cancer?
Mammography
Mammography is the standard screening test recommended for breast cancer detection.
At what age should women begin breast cancer screening?
Women aged 40-74 years
Breast cancer screening is recommended to start at age 40.
How often should breast cancer screening be performed?
Every 2 years (biennial)
The recommended frequency for breast cancer mammography screening is every two years.
What is the recommended cervical cancer screening for ages 21-29?
Pap smear (cytology) every 3 years
This is the standard recommendation for cervical cancer screening in younger women.
What are the screening options for cervical cancer in ages 30-65?
Pap smear every 3 years, high-risk HPV testing alone every 5 years, co-testing every 5 years
These are the recommended screening methods for cervical cancer in this age group.
When should cervical cancer screening be stopped?
After age 65 if prior screening has been adequate and normal
This guideline ensures that women do not undergo unnecessary screening after a certain age.
What are the screening options for colorectal cancer for ages 45-75?
Colonoscopy every 10 years, FIT annually, flexible sigmoidoscopy every 5 years plus FIT every 3 years
These options provide a range of methods for colorectal cancer screening.
How should colorectal cancer screening be approached for ages 76-85?
Screening on an individualized basis
This approach tailors screening to the individual’s health status and risks.
What is the population targeted for lung cancer screening?
Adults aged 50-80 with a 20 pack-year smoking history
This group includes both current smokers and those who quit within the past 15 years.
What test is used for lung cancer screening?
Low-dose CT (LDCT)
Low-dose CT is the recommended screening test for lung cancer in eligible populations.
How often should lung cancer screening be conducted?
Annually
Annual screenings are recommended for those at high risk for lung cancer.
When should lung cancer screening be discontinued?
If the patient has quit smoking for 15 years or develops a health problem limiting life expectancy
This guideline helps prioritize patients who are most likely to benefit from screening.
What is the recommendation for aspirin use in cardiovascular disease prevention for ages 50-59?
Initiate low-dose aspirin for those with a 10% or greater 10-year cardiovascular risk
Aspirin use should also consider bleeding risk and patient willingness.
What is the approach for aspirin use in ages 60-69?
Individual decision based on risk factors
Decisions regarding aspirin use in this age group should be personalized.
What is the criteria for abdominal aortic aneurysm (AAA) screening?
Men aged 65-75 who have ever smoked: One-time screening with abdominal ultrasound
This screening is critical for high-risk populations.
Is routine AAA screening recommended for women?
No routine screening recommended
Women do not have the same screening guidelines as men for AAA.
What is the screening recommendation for osteoporosis in women aged 65 and older?
Screen with DEXA scan
DEXA scans are the standard for osteoporosis screening.
What is the osteoporosis screening recommendation for younger women?
Younger women with equivalent fracture risk should also be screened
This ensures that at-risk younger women receive appropriate screening.
What is the HIV screening recommendation for ages 15-65?
One-time screening for HIV; repeat for those at higher risk
This guideline supports early detection and treatment of HIV.
When should all pregnant women be screened for HIV?
During each pregnancy, including those in labor if HIV status is unknown
This ensures that both the mother and child receive appropriate care.
What is the hypertension screening recommendation for adults?
Adults aged 18 and older: Screen for high blood pressure
Confirm diagnosis with measurements outside the clinic before treatment.
What is the diabetes screening recommendation for adults aged 35-70 who are overweight or obese?
Screen for Type 2 diabetes every 3 years
Screening can be done with fasting plasma glucose, HbA1c, or an oral glucose tolerance test.