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

USPSTF Flashcards by Xianling Liu

Breast cancer screen

B rec.

F, age 50-74, mmgm, q2yrs

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Factors considered by USPSTF making screening recommendations?

The USPSTF considers:

the Burden of suffering from the target conditions
Accuracy of screening test
Benefits of screening compared with harms.

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

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Cervical cancer

A rec

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

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Colorectal cancer

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

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Prostate cancer

D rec

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Lung cancer

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

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Cancer screening with “D” rec

Ovarian
Prostate
Pancreatic
Testicular

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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

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Counseling

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

B rec

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Beta-carotene supplements to prevent cancer or cardiovascular disease

D rec

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Cardiovascular disease screening

Abd aortic aneurysm

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

- B Rex

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Cardiovascular disease screening

High blood pressure screening

At 18 or older

A rec

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Lipid screening

M = or > 35

A rec

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Lipid screening

Female

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

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Aspirin prevention

M, 45-79, for MI prevention if low risk of GI bleeding –A rec
F, 55-79, for ischemic stroke prevention if low risk of GI bleeding –A rec

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

B rec

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Alcohol misuse in adults

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

B rec

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

B rec

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Screening obesity in adult

B rec

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Screening obesity in children 6 or older

B rec

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Intensive counseling and behavioral intervention for adults and children for obesity

B rec

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

B rec

STI counseling
High intensity behavioral counseling
- Sexually active adolescents

B rec

STI counseling
High intensity behavioral counseling
- adults at increased risk

B rec

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

B rec

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

B rec

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

B rec

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

B rec

Hearing screening | New born infant

B rec

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

A rec

Gonorrhea | F, sexually active, at increased risk

B rec

Chlamydia and gonorrhea for men

I rec

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

A rec

Syphilis | All M & F at increased risk

A rec

Hep B | Men and non-pregnant women

D rec

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

B rec

HCV risk

Hz of blood transfusion before 1992

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

A rec

Pregnant women screening | - syphilis

A rec

Pregnant women screening | - hep B at 1st prenatal visit

A rec

Pregnant women screening | - HIV

A rec

Pregnant women screening | - chlamydia

B rec

Pregnant women screenin | - Rh incompatibility

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

Pregnant women screening | - iron-deficiency anemia

B rec

Pregnant women screening | - tobacco use

A rec

Pregnant women screening | - alcohol misuse

B rec

Pregnant women screening | - breast feeding rec

B rec

Pregnant women screening | - folic acid supplementation

Infant screening

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

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

A rec

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

B rec

Cancer screening with " I" rec

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

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

B rec