USPSTF A & B Recs + Vaccine Schedules Flashcards
Family Medicine (60 cards)
Abdominal aortic aneurysm screening
B
1-time screening with ultrasonography for men 65-75 who have ever smoked
Anxiety disorder screening in adults
B
screening in all adults, including pregnant and postpartum persons
Anxiety disorder screening in children
B
screening in children/adolescents 8-18 years
Aspirin prevention in preeclampsia
B
low-dose aspirin (81mg/day) after 12 weeks gestation in persons at high risk for preeclampsia
Asymptomatic bacteriuria screening
B
urine culture screening for all pregnant persons
BRCA risk assessment tool
women with personal/family hx of breast, ovarian, tubal, peritoneal cancer or BRCA1/2 gene mutations: assess risk with familial risk assessment tool
those with positive result should receive genetic counseling and testing if indicated
Breast cancer medication use to reduce risk
B
in women > 35 years with increased risk for breast cancer + low risk for adverse medication effects, offer risk-reducing medications (tamoxifen, raloxifene, aromatase inhibitors)
Breast cancer screening (mammogram)
B
biennial screening mammography for women 40-74 years
Breastfeeding behavioral counseling interventions
B
primary care interventions/referrals for breastfeeding support during pregnancy and after birth
Cervical cancer screening (pap smear cervical cytology, HPV testing)
A
women 21-29: pap smear alone every 3 years
women 30-65: pap smear alone every 3 years OR HPV testing alone every 5 years OR combined pap + HPV every 5 years
Chlamydia + gonorrhea screening
B
women 24 years or younger: screening in all sexually active women
women 25 years or older: screening in women at increased risk for infection
Colorectal cancer screening
A/B
adults 45-49 years: B recommendation to screen
adults 50-75 years: A recommendation to screen all adults
patients with first-degree relative with CRC or high risk adenomatous polyp: colonoscopy at 40yo (or 10 years before age of FDR dx), repeat every 5 years
Depression and suicide risk screening
B
Adults: screening for depression in all adults
Children 12-18 years: screening for MDD in adolescents
Fall prevention in community-dwelling older adults
B
Adults 65+ years who are at increased risk of falls: exercise interventions recommended
Folic acid supplementation
A
All persons planning to or who could become pregnant (not on birth control): take a daily folic acid supplement containing 0.4-0.8 mg
Gestational diabetes screening in pregnant persons
B
Asymptomatic pregnant persons at 24 weeks or after: recommend screening
Behavioral counseling interventions for cardiovascular disease prevention
B
Adults with cardiovascular risk factors: offer/refer to behavioral counseling to promote healthy diet and physical activity
Behavioral counseling interventions for promoting healthy weight gain in pregnancy
B
All pregnant persons should be offered effective behavioral counseling interventions aimed at promoting healthy weight gain and preventing excess gestational weight gain in pregnancy
Hep B screening
A/B
Adolescents and adults (B): only in those at increased risk for infection (parents from regions with high prevalence of HBV, did not receive vaccine as infants, IVDU, MSM, household contacts of HBsAg positive)
Pregnant women (A): all pregnant women at their first prental visit
Hep C screening
B
adults 18-79 years: all adults should get screened for HCV
High BMI interventions in children/adolescents
B
children/adolescents 6+ years: those with BMI over 95th percentile should get comprehensive, intensive behavioral interventions
HIV screening
A
adolescents/adults 15-65 years: all should be screened
younger adolescents < 15 and older adults >65: those at increased risk of infx should be screened
pregnant persons: all pregnant persons should be screened, including those present in labor/delivery whose HIV status is unknown
Hypertension screening
A/B
adults 18+ years (A): all adults should be screened with office BP measurement
pregnant persons (B): screening for hypertensive disorders with BP measurements throughout pregnancy
BP measurements outside of the clinical setting should be obtained for diagnostic confirmation before starting tx
Abuse screening
B
women of reproductive age: screen for IPV and refer those who screen positive to ongoing support services