USPSTF A and B Recommendations

Question 1

Abdominal aortic aneurysm screening: men

Answer 1

Men 65 to 75 years who have ever smoked:

One-time screening for AAA by US.
Do not screen women.

Question 2

Alcohol misuse: screening and counseling

Answer 2

Adults 18 years or older:

Screen for alcohol misuse.
Provide brief behavioral counseling interventions to reduce alcohol misuse.

Question 3

Aspirin preventive medication

Answer 3

Adults 50 to 59 years who have a 10% or greater 10-year cardiovascular 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.:

Start low-dose aspirin for primary prevention of CVD and colorectal cancer.

Question 4

Bacteriuria screening: pregnant women

Answer 4

Pregnant women at 12 to 16 weeks’ gestation or at the first prenatal visit:

Screen for asymptomatic bacteriuria with urine culture.

Question 5

Blood pressure screening: adults

Answer 5

Adults 18 years or older:

Screen for high blood pressure. Obtain measurements outside of the clinical setting for diagnostic confirmation before starting treatment.

Question 6

BRCA risk assessment

and genetic counseling/testing

Answer 6

Women who have family members with breast, ovarian, tubal, or peritoneal cancer:

Use screening tool to identify a FHx that may be associated with an increased risk for mutations in BRCA1 or BRCA2.

If positive screen: provide genetic counseling and BRCA testing.

Question 7

Breast cancer preventive medications

Answer 7

Women who are at increased risk for breast cancer and at low risk for adverse medication effects:

Offer to prescribe risk-reducing medications, such as tamoxifen or raloxifene. (use shared, informed decision making)

Question 8

Breast cancer screening

Answer 8

Women 40 years and older:

Screening mammography +/- clinical breast examination, every 1 to 2 years.

Question 9

Breastfeeding interventions

Answer 9

Provide interventions during pregnancy and after birth to support breastfeeding.

Question 10

Cervical cancer screening

Answer 10

Women 21 to 65 years:

Screen for cervical cancer with cytology (pap smear) every 3 years.

Women 30 to 65 years can screen with a combination of cytology and human papillomavirus (HPV) testing every 5 years.

Question 11

Chlamydia screening: women

Answer 11

Sexually active women 24 years or younger
or older women who are at increased risk (get it grandma):

Screen for chlamydia.

Question 12

Colorectal cancer screening

Answer 12

Adults 50 years to 75 years:

Screen for colorectal cancer. Schedule depends on type of screening tool.

Question 13

Dental caries prevention: infants and children up to age 5 years

Answer 13

All infants and children at age of primary tooth eruption:

Application of fluoride varnish to the primary teeth

Children 6 months whose water supply is fluoride deficient:

Prescribe oral fluoride supplementation.

Question 14

Depression screening: adolescents

Answer 14

Adolescents aged 12 to 18 years:

Screen for MDD with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.

Question 15

Depression screening: adults

Answer 15

General adult population, including pregnant and postpartum women:

Screen for MDD with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up.

Question 16

Diabetes screening

Answer 16

Adults 40 to 70 years who are overweight or obese:

Screen for abnormal blood glucose as part of CV risk assessment.
Refer patients with abnormal blood glucose to intensive behavioral counseling interventions to promote a healthful diet and physical activity.

Question 17

Falls prevention: older adults

Answer 17

Community-dwelling adults 65 years or older who are at increased risk for falls:

Exercise interventions

Question 18

Folic acid supplementation

Answer 18

Women who are planning or capable of pregnancy:

Take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid.

Question 19

Gestational diabetes mellitus screening

Answer 19

Asymptomatic pregnant women after 24 weeks of gestation:

Screen for gestational diabetes mellitus

Question 20

Gonorrhea prophylactic medication: newborns

Answer 20

All newborns:

Prophylactic ocular topical medication for the prevention of gonococcal ophthalmia neonatorum.

Question 21

Gonorrhea screening: women

Answer 21

Sexually active women 24 years or younger
or older women who are at increased risk (get it grandma):

Screen for gonorrhea.

Question 22

Healthy diet and physical activity for adults with cardiovascular risk factors

Answer 22

Adults who are overweight or obese and have additional CVD risk factors:

Offer/ Refer to intensive behavioral counseling interventions to promote a healthful diet and physical activity

Question 23

Hemoglobinopathies screening: newborns

Answer 23

All newborns:

Screen for sickle cell disease

Question 24

Hepatitis B screening: nonpregnant adolescents and adults

Answer 24

Any person at high risk for infection:

Screen for hepatitis B virus infection

Question 25

Hepatitis B screening: pregnant women

Answer 25

All pregnant women at first prenatal visit: Screen for hepatitis B virus infection

Question 26

Hepatitis C virus infection screening: adults

Answer 26

Any person at high risk for infection: Screen for hepatitis C virus infection Adults born between 1945 and 1965: One-time screening for HCV infection

Question 27

HIV screening: nonpregnant adolescents and adults

Answer 27

Adolescents and adults 15 to 65 years or those younger/older who are at increased risk: Screen for HIV

Question 28

HIV screening: pregnant women

Answer 28

All pregnant women including those who present in labor who are untested/unknown HIV status: Screen for HIV

Question 29

Hypothyrodism screening: newborns

Answer 29

All newborns: Screen for congenital hypothyroidism.

Question 30

Intimate partner violence screening: women of childbearing age

Answer 30

All women of childbearing age: Screen for intimate partner violence, including domestic violence. Offer/ refer women with positive screen to intervention services.

Question 31

Lung cancer screening

Answer 31

Adults55 to 80 years with a 30 pack-year smoking history, who currently smoke or have quit within the past 15 years: Screen for lung cancer with low-dose CT. Discontinue screening 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 32

Obesity screening and counseling: adults

Answer 32

All adults: Screen for for obesity. Offer/ refer patients with a BMI over 30 to intensive, multicomponent behavioral interventions.

Question 33

Obesity screening: children and adolescents

Answer 33

Children and adolescents 6 years and older: Screen for for obesity. Offer/ refer patients with a BMI over 30 to intensive, multicomponent behavioral interventions.

Question 34

Osteoporosis screening: women

Answer 34

Women age 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: Screen for osteoporosis

Question 35

Phenylketonuria screening: newborns

Answer 35

All newborns: Screen for phenylketonuria

Question 36

Preeclampsia prevention

Answer 36

Women at 12 weeks of gestation who are at high risk for preeclampsia: Use low-dose aspirin (81 mg/d)

Question 37

Preeclampsia: screening

Answer 37

All pregnant women: Screen for preeclampsia with blood pressure measurements throughout pregnancy.

Question 38

Rh incompatibility screening: pregnancy

Answer 38

All pregnant women at first prenatal visit: Rh (D) blood typing and antibody testing. All unsensitized Rh (D)- negative pregnant women 24 to 28 weeks' gestation, unless the biological father is known to be Rh (D)-negative: Repeated Rh (D) antibody testing.

Question 39

Sexually transmitted infections counseling

Answer 39

Sexually active adolescents and adults and increased risk: Intensive behavioral counseling.

Question 40

Skin cancer behavioral counseling

Answer 40

Young children - Young adults and parents (6 months - 24 yrs w/ fair skin types): counseling about minimizing exposure to ultraviolet (UV) radiation for persons aged 6 months to 24 years with fair skin types to reduce their risk of skin cancer.

Question 41

Statin preventive medication

Answer 41

Adults 40-75 years with 1 or more CVD risk factors (i.e., dyslipidemia, diabetes, hypertension, or smoking) and calculated 10 yr CVD event of 10% or greater: Use a low- to moderate-dose statin. Requires universal lipids screening in adults ages 40 to 75 years.

Question 42

Tobacco use counseling and interventions: nonpregnant adults

Answer 42

Nonpregnant adults: Ask about tobacco use, advise to stop, provide behavioral interventions and approved pharmacotherapy for cessation.

Question 43

Tobacco use counseling: pregnant women

Answer 43

Pregnant women: Ask about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation

Question 44

Tobacco use interventions: children and adolescents

Answer 44

School aged children and Adolescents: Provide interventions, including education or brief counseling, to prevent initiation of tobacco use.

Question 45

Tuberculosis screening: adults

Answer 45

Persons at increased risk: Screen

Question 46

Syphilis screening: nonpregnant persons

Answer 46

Persons at increased risk: Screening for syphilis infection.

Question 47

Syphilis screening: pregnant women

Answer 47

Pregnant Women: Screen for Syphilis

Question 48

Vision screening: children

Answer 48

Children 3 to 5: vision screening at least once to detect amblyopia or its risk factors.

Question 49

Newborn recommendations

Answer 49

All newborns: - Prophylactic ocular topical medication for the prevention of gonococcal ophthalmia neonatorum. - Screen for sickle cell disease. - Screen for congenital hypothyroidism. - Screen for phenylketonuria

Question 50

Pregnancy recommendations

Answer 50

All pregnant women: - Screen for MDD. - Screen for Syphilis - Screen for HIV - Screen for HBV - Screen for gestational DM - Screen for asymptomatic bacteriuria with urine culture. - Ask about tobacco use, advise them to stop and provide behavioral interventions for cessation. - Rh (D) blood typing and antibody testing. - Screen for preeclampsia with BP measurements. - Take a daily supplement containing 0.4 to 0.8 mg (400 to 800 µg) of folic acid. (including women who are capable of becoming pregnant). - Provide interventions to support breastfeeding All unsensitized Rh (D)- negative pregnant women 24 to 28 weeks' gestation, unless the biological father is known to be Rh (D)-negative: -Repeated Rh (D) antibody testing.