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Flashcards in USPSTF Deck (53):
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Factors considered by USPSTF making screening recommendations?

The USPSTF considers:
1. the Burden of suffering from the target conditions
2. Accuracy of screening test
3. Benefits of screening compared with harms.

Cost, cost effectiveness, insurance coverage, and liability are NOT considered.

1

Breast cancer screen

B rec.

F, age 50-74, mmgm, q2yrs

2

Cervical cancer

A rec

F, 21-65, q3yrs pap
F, 30-65, q5yrs pap+HPV, optional

3

Colorectal cancer

A rec
Age 50-75
colonoscopy q10yrs, or
Annual high sensitivity stool test, or
Sigmoidoscopy q5yrs

4

Prostate cancer

D rec

5

Lung cancer

B rec
Low dose CT
Annual
55-80
30 pack year
Current smoker
Or have quit<15 years

6

Cancer screening with "D" rec

Ovarian
Prostate
Pancreatic
Testicular

7

Counseling
Tabasco cessation
- ask all adults about use and provide tobacco cessation intervention
- screening all pregnant women for tobacco use and provide counseling

A rec

8

Counseling
- 10-24 yrs old with fair skin to minimized exposure to UV radiation

B rec

9

Beta-carotene supplements to prevent cancer or cardiovascular disease

D rec

10

Cardiovascular disease screening

Abd aortic aneurysm

Men ever smoked, 65-75 yrs, 1 time screen with U/S
- B Rex

11

Cardiovascular disease screening
High blood pressure screening

At 18 or older
A rec

12

Lipid screening
M = or > 35

A rec

13

Lipid screening
Female

At increased risk
= or > 45, A rec
20-45, B rec

14

Aspirin prevention

1. M, 45-79, for MI prevention if low risk of GI bleeding --A rec

2. F, 55-79, for ischemic stroke prevention if low risk of GI bleeding --A rec

15

Intensive behavioral dietary counseling for pt with hyperlipemia and other risk factors for CVD, diet related chronic diseases

B rec

16

Alcohol misuse in adults
- screen and counsel adults to reduce alcohol misuse with brief behavior counseling intervention

B rec

17

Depression screening, counseling adult and adolescent (12-18) with depression support system

B rec

18

Screening obesity in adult

B rec

19

Screening obesity in children 6 or older

B rec

20

Intensive counseling and behavioral intervention for adults and children for obesity

B rec

21

Type 2 DM screening in asymptomatic adults with Bp>135/80

B rec

22

STI counseling
High intensity behavioral counseling
- Sexually active adolescents

B rec

23

STI counseling
High intensity behavioral counseling
- adults at increased risk

B rec

24

Injury and violence screening for women of childbearing age for intimate partner violence

B rec

25

Exercises and physical therapy and vitamin D in 65 or older, for prevention of fall in community-dwelling older adults

B rec

26

Osteoporosis
F, 65 or older or
Younger than 65 with risk factors

B rec

27

Visual screening
3-5 year old, one time screening for amblyopia

B rec

28

Hearing screening
New born infant

B rec

29

Chlamydia
F, 24 or younger, sexually active or
25 or older, with increased risk

A rec

30

Gonorrhea
F, sexually active, at increased risk

B rec

31

Chlamydia and gonorrhea for men

I rec

32

HIV screening
- 15-65 yrs
- Younger adolescents and older adults at increased risk for HIV

A rec

33

Syphilis
All M & F at increased risk

A rec

34

Hep B
Men and non-pregnant women

D rec

35

Hep C
- at increased risk
- one time screening for those born in 1946-1965

B rec

36

HCV risk

Hz of blood transfusion before 1992

37

Pregnant women screening
- Bacteriuria
- asymptomatic, 12-16 wks gestation

A rec

38

Pregnant women screening
- syphilis

A rec

39

Pregnant women screening
- hep B at 1st prenatal visit

A rec

40

Pregnant women screening
- HIV

A rec

41

Pregnant women screening
- chlamydia

B rec

42

Pregnant women screenin
- Rh incompatibility

1st prenatal visit --A rec
Repeat at 24-28 wk--B rec

43

Pregnant women screening
- iron-deficiency anemia

B rec

44

Pregnant women screening
- tobacco use

A rec

45

Pregnant women screening
- alcohol misuse

B rec

46

Pregnant women screening
- breast feeding rec

B rec

47

Pregnant women screening
- folic acid supplementation

A

48

Infant screening

1. Congenital hypothyroidism - A rec
2. Phenylketonuria - A rec
3. Sickle cell disease - A rec
4. Hearing screening - B rec

49

Infant preventive medication
- prophylactic ocular topical medication to prevent gonococcal ophthalmia neonatorum

A rec

50

Infant preventive medication
- Iron supplementation for infants 6-12 month at increased risk for iron deficiency

B rec

51

Cancer screening with " I" rec

1. Skin cancer
2. Bladder cancer
3. Oral cancer

52

Abdominal Aortic Aneurysm screening
- make ever smoked, 65-75 yrs. one time screening

B rec