USPSTF A and B Recommendations

Question 1

AAA (Screening)

Answer 1

B: The USPSTF recommends one-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men ages 65 to 75 years who have ever smoked

Question 2

Breast Cancer (Prevention)

Answer 2

B: The USPSTF recommends that clinicians engage in shared, informed decision making with women who are at increased risk for breast cancer about medications to reduce their risk. For women who are at increased risk for breast cancer and at low risk for adverse medication effects, clinicians should offer to prescribe risk-reducing medications, such as tamoxifen or raloxifene.

Question 3

Cervical CA (Screening)

Answer 3

A: The USPSTF recommends screening for cervical cancer in women age 21 to 65 years with cytology (Pap smear) every 3 years or, for women age 30 to 65 years who want to lengthen the screening interval, screening with a combination of cytology and human papillomavirus (HPV) testing e_very 5 years_

Question 4

Breast CA (Screening)

Answer 4

B: The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.

Question 5

Colon CA (Screening)

Answer 5

The USPSTF recommends screening for colorectal cancer starting at age 50 years and continuing until age 75 years.

(FIT or Guiac yearly; or colonoscopy Q10y; or flex sig Q5y)

Question 6

Lung CA (Screening)

Answer 6

B: The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years. Screening should be discontinued once a person has not smoked for 15 years or develops a health problem that substantially limits life expectancy or the ability or willingness to have curative lung surgery.

Question 7

Osteoporosis (Screening)

Answer 7

B: The USPSTF recommends screening for osteoporosis in women aged 65 years and older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional risk factors.

Question 8

Ovarian CA (Screening)

Answer 8

TRICK QUESTION!!

D: The USPSTF recommends against screening for ovarian cancer in women.

Question 9

Prostate CA (Screening)

Answer 9

TRICK QUESTION!!!

D: The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)-based screening for prostate cancer

Question 10

Testicular CA (Screening)

Answer 10

TRICK QUESTION!!!

D: The USPSTF recommends against screening for testicular cancer in adolescent or adult men.

Question 11

Hep C (screening)

Answer 11

B: The USPSTF recommends screening for hepatitis C virus (HCV) infection in persons at high risk for infection. The USPSTF also recommends offering 1-time screening for HCV infection to adults born between 1945 and 1965

Question 12

Abnormal Blood Glucose and T2DM

(Screening)

Answer 12

B: The USPSTF recommends screening for abnormal blood glucose as part of cardiovascular risk assessment in adults aged 40 to 70 years who are overweight or obese. Clinicians should offer or refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity

(Consider earlier if other RF present)

Question 13

Alcohol Misuse

(Screening and Behavioral Counseling Interventions)

Answer 13

B: The USPSTF recommends that clinicians screen adults aged 18 years or older for alcohol misuse and provide persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce alcohol misuse

Question 14

Aspirin Use to PRevent Cardiovascular Dz and Colorectal CA

(Prevention)

Answer 14

B: The USPSTF recommends initiating low-dose aspirin use for the primary prevention of cardiovascular disease (CVD) and colorectal cancer (CRC) in adults aged 50 to 59 years who have a 10% or greater 10-year CVD risk, are not at increased risk for bleeding, have a life expectancy of at least 10 years, and are willing to take low-dose aspirin daily for at least 10 years.

Question 15

Asymptomatic Bacteriuria in Adults

(Screening)

Answer 15

A: The USPSTF recommends screening for asymptomatic bacteriuria with urine culture for pregnant women at 12 to 16 weeks’ gestation or at their first prenatal visit, if later.

Question 16

BRCA-Related CA

(Assessment, Counseling, and Testing)

Answer 16

B: The USPSTF recommends that primary care providers screen women who have family members with breast, ovarian, tubal, or peritoneal cancer with 1 of several screening tools designed to identify a family history that may be associated with an increased risk for potentially harmful mutations in breast cancer susceptibility genes (BRCA1 or BRCA2). Women with positive screening results should receive genetic counseling and, if indicated after counseling, BRCA testing.

Question 17

Breastfeeding (Counseling)

Answer 17

B: The USPSTF recommends interventions during pregnancy and after birth to promote and support breastfeeding.

Question 18

Chlamydia and Gonorrhea (Screening)

Answer 18

The USPSTF recommends screening for gonorrhea and chlamydia in sexually active women age 24 years and younger and in older women who are at increased risk for infection.

Question 19

Dental Caries in Children from Birth through 5y (Screening)

Answer 19

B: The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is deficient in fluoride

B: The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption

Question 20

Depression in Adults (Screening)

Answer 20

B: The USPSTF recommends screening for depression in the general adult population, including pregnant and postpartum women. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up

Question 21

Depression in Children and Adolescents (Screening)

Answer 21

B: The USPSTF recommends screening for major depressive disorder (MDD) in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.

Question 22

Folic Acid to Prevent Neural Tube Defects: Preventive Medication

Answer 22

A: The USPSTF recommends that all women planning or capable of pregnancy take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid.

Question 23

Gestational Diabetes Mellitus, Screening

Answer 23

The USPSTF recommends screening for gestational diabetes mellitus (GDM) in asymptomatic pregnant women after 24 weeks of gestation

Question 24

Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling

Answer 24

The USPSTF recommends offering or referring adults who are overweight or obese and have additional cardiovascular disease (CVD) risk factors to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD prevention.

Question 25

Hepatitis B in Pregnant Women: Screening

Answer 25

The USPSTF recommends screening for hepatitis B virus (HBV) infection in pregnant women **_at their first prenatal visit._**

Question 26

Hepatitis B Virus Infection: Screening, 2014

Answer 26

The USPSTF recommends screening for hepatitis B virus (HBV) infection in persons at high risk for infection

Question 27

High Blood Pressure in Adults: Screening

Answer 27

The USPSTF recommends screening for high blood pressure in adults **_aged 18 years or older._** The USPSTF recommends obtaining measurements outside of the clinical setting for diagnostic confirmation before starting treatment

Question 28

Human Immunodeficiency Virus (HIV) Infection: Screening

Answer 28

The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged **_15 to 65 years._** *Younger adolescents and older adults who are at increased risk should also be screened*.

Question 29

Intimate Partner Violence and Abuse of Elderly and Vulnerable Adults: Screening

Answer 29

The U.S. Preventive Services Task Force (USPSTF) recommends that clinicians screen women of childbearing age for intimate partner violence (IPV), such as domestic violence, and provide or refer women who screen positive to intervention services

Question 30

Latent Tuberculosis Infection: Screening

Answer 30

The USPSTF recommends screening for latent tuberculosis infection (LTBI) in populations at increased risk.

Question 31

Lipid Disorders in Adults (Cholesterol, Dyslipidemia): Screening

Answer 31

A: The USPSTF strongly recommends screening men **aged 35 and older** for lipid disorders. B: The USPSTF recommends screening men aged _20-35_ for lipid disorders _if they are at increased risk for coronary heart disease._

Question 32

Obesity in Adults: Screening and Management

Answer 32

The USPSTF recommends screening all adults for obesity. Clinicians should offer or refer patients with a body mass index (BMI) of **30 kg/m2 or higher** to intensive, multicomponent behavioral interventions.

Question 33

Obesity in Children and Adolescents: Screening

Answer 33

The USPSTF recommends that clinicians **screen children aged 6 years and older for obesity** and offer them or refer them to comprehensive, intensive behavioral intervention to promote improvement in weight status.

Question 34

Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication

Answer 34

The USPSTF recommends prophylactic ocular topical medication for all newborns for the prevention of gonococcal ophthalmia neonatorum.

Question 35

Sexually Active Adolescents and Adults

Answer 35

The USPSTF recommends intensive behavioral counseling for all sexually active adolescents and for adults who are at increased risk for sexually transmitted infections (STIs).

Question 36

Skin Cancer Counseling

Answer 36

The U.S. Preventive Services Task Force (USPSTF) recommends counseling children, adolescents, and young adults _aged 10 to 24 years who have fair skin_ about minimizing their exposure to ultraviolet radiation to reduce risk for skin cancer.

Question 37

Tobacco Smoking Cessation in Adults, Including Pregnant Women: Behavioral and Pharmacotherapy Interventions

Answer 37

A: The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and U.S. Food and Drug Administration (FDA)–approved pharmacotherapy for cessation to adults who use tobacco.

Question 38

Visual Impairment in Children Ages 1-5: Screening

Answer 38

The USPSTF recommends vision screening for all children at least once between the _ages of 3 and 5 years_, to detect the presence of amblyopia (lazy eye) or its risk factors.