USPSTF Screenings Recommendations

Question 1

What is the test for breast cancer?

Answer 1

Mammogram

Question 2

What is the age range and frequency for breast cancer screenings?

Answer 2

40-49 if risk factor present (FH)
50-74 (every 2 years)

Question 3

What are risk factors for breast cancer?

Answer 3

Modifiable: HRT, Nulliparity, Increased age at first live birth, alcohol

Non-Modifiable: Genetic mutation or BC in 1st degree relative; White; Increased Age; Early Menarche or Later Menopause (excessive estrogen exposure w/o progesterone)

Question 4

Who should be screened for Lung Cancer?

Answer 4

Current Smoker with 20 pack year history or quit within last 15 years

Question 5

What is test to screen for lung cancer?

Answer 5

low-dose chest CT

Question 6

At what age and frequency should lung cancer be screened for?

Answer 6

50-80 (yearly basis)

Question 7

When should you terminate screening for lung cancer?

Answer 7

Quit > 15 years
Health problems that limit life expectancy

Question 8

What are the tests for Colorectal Cancer?

Answer 8

FOBT or FIT
Stool FIT DNA
CT colonography
Sigmoidsocopy
Sigmoidoscopy + Annual FIT
Colonscopy

Question 9

What is the age range for the Colorectal Cancer screening tests?

Answer 9

45-75 years

Question 10

What is the frequency for the Colorectal Cancer Screening Tests?

Answer 10

FOBT or FIT: Yearly
Stool FIT DNA: 1-3 years
CT Colonography: 5 years
Sigmoidoscopy: 5 years
Sigmoidoscopy + Annual FIT: 10 years
Colonoscopy: 10 years

Question 11

What is the test for screening FAP?

Answer 11

Colonoscopy

Question 12

What is the age range and frequency for screening FAP?

Answer 12

10-12 years ( yearly basis)

Question 13

What is the screening test for Lynch Syndrome (HNPCC)?

Answer 13

Colonoscopy

Question 14

What is the age range and frequency for screening for Lynch Syndrome (HNPCC)?

Answer 14

20-25 years (1-2 years)

Question 15

What is the test for screening for IBD?

Answer 15

Colonoscopy

Question 16

What is the age range and frequency for screening for IBD?

Answer 16

8 years post diagnosis (frequency 1-2 years)

Question 17

What constitutes family history for colorectal cancer?

Answer 17

present in primary relative at younger than age 60

Question 18

What is the screening test for someone with a family history of Colorectal cancer?

Answer 18

Colonscopy

Question 19

What is the age range and frequency for screening someone with family history of colorectal cancer?

Answer 19

40 years old or 10 years prior to diagnosis (frequency of every 3-5 years)

Question 20

What is the most common extracolonic malignancy associated with Lynch Syndrome?

Answer 20

Endometrial Cancer

Question 21

What is recommended for women with Lynch syndrome?

Answer 21

Hysterectomy with bilateral salpingo-oophorectomy at the end of childbearing age (around 40 years)

Question 22

What is the test for screening for cervical cancer?

Answer 22

Pap Smear

Pap smear + HPV test

Question 23

What is the age range and frequency for testing for cervical cancer?

Answer 23

Pap Smear: 21-29 (every 3 years)

Pap Smear + HPV test: 30-65 (cytology alone every 3 years of Cytology + HPV at 5 years)

Question 24

When do you screen someone with HIV for cervical cancer?

Answer 24

Onset of sexual intercourse, time of diagnosis, annually until 3 or more normal. Than it is routine

Question 25

When do screen someone who is immunosuppressed for Cervical Cancer?

Answer 25

Onset of sexual intercourse, annual Pap with HIV

Question 26

Bladder/Prostate Cancer screening test?

Answer 26

Bladder: not recommended (high rate false positives) Prostate: controversial

Question 27

Who do you screen for Abdominal Aortic Aneurysm?

Answer 27

Men who have over smoked over 65 year old

Question 28

What is the screening test for Abdominal Aortic Aneurysm?

Answer 28

Abdominal Ultrasound ultrasound is less expensive than CT/MRI

Question 29

What is the age range and frequency of screening for Abdominal Aortic Aneurysm?

Answer 29

65-75 (once)

Question 30

Who is screening for AAA not recommended for?

Answer 30

Women

Question 31

What is the screening test for Diabetes Mellitus?

Answer 31

Fasting Glucose HbA1C Oral Glucose Tolerance Test

Question 32

At what age range and frequency should you screen for diabetes mellitus?

Answer 32

35-70 (3 years)

Question 33

Who should be screened for DM?

Answer 33

Overweight or obese

Question 34

What is the screening test for Hyperlipidemia?

Answer 34

Lipid Panel

Question 35

What is the age range and frequency for screening for hyperlipidemia?

Answer 35

Men: 35. (5 years) Women: 45

Question 36

What is the screening test for Diabetes, HTN, CAD, Carotid Dx, Peripheral Vascular dz, Aortic Disease

Answer 36

Lipid Panel

Question 37

What is the age range/frequency of screening for pts with Diabetes, HTN, CAD, Carotid Dx, Peripheral Vascular dz, Aortic Disease

Answer 37

> 20 y.o every 5 years

Question 38

What is the age range/frequency for screening for hypertension

Answer 38

> 18 yo every 2 years

Question 39

What is the test for Osteoporosis?

Answer 39

DEXA (dual energy x-ray absorptiometry

Question 40

what is the age range for screening for osteoporosis?

Answer 40

greater than or equal to 65 Less than 65 if osteoporosis and multiple risk factors (smoking, parental history hip fracture, early menopause, less than 127 lb or 58 kg)