Breast Cancer Screening
What is the genera age range for breast cancer screening
40-74 (but not recommended to stop screening at 74 based on age alone)
When does screening begin if ≥1 first-degree relative with CRC at any age?
Colonoscopy beginning at age 40 or 10 years before the earliest diagnosis, whichever is first; repeat every 5 years.
Recommended screening interval and order for ages 21-29 years?
Q3 years with cervical cytology alone
Guidelines for lung cancer screening (imaging to order, age range, years smoked, years quit, frequency)
recommended using an annual low-Dose CT (LDCT) scan.
asymptomatic adults aged 50 to 80 who have a 20 pack-year smoking history and are either current smokers or have quit within the past 15 years.
Name the 2 musical artists who sing the song with the lyrics
“Came here for school, graduated to the high life. Ball players, rap stars, addicted to the limelight MDMA got you feelin' like a champion (come on, come on, come on) The city never sleeps, better slip you an Ambien”
Jay Z
Alicia Keys
Empire state of mind
Recommended mammogram screening interval for the average patient per the USPSTF?
every other year
What are the recommendations for screening after a negative colonoscopy following a positive stool-based test?
Patients can return to average-risk screening intervals (q10 years) if the colonoscopy was of high quality and no symptoms are present.
Recommended screening interval and order for 30-65 yo?
Q3 years with cervical cytology, every 5 years with cytology + HPV, or every 3 years HPV only
Guidelines for Abdominal Aortic Aneurysm Screening
one-time ultrasound for MEN aged 65 to 75 who have a history of smoking
Young Thug’s “2 Cups Stuffed” is written regarding this popular drink containing codeine
LEAN, Purple drank,"sizzurp," or "dirty sprite") is a highly It is made by mixing prescription-strength cough syrup (containing codeine and promethazine) with soda and hard candy
What are the guidelines for screening based on breast density?
Not enough evidence for screening changes based on density at this time
When should colorectal cancer (CRC) screening be initiated and stopped?
age 45 for average-risk adults, with screening continuing through age 75 in those with a life expectancy ≥10 years.
Age range and dosing schedule for HPV vaccine?
A two-dose series (0, 6-12 months) for ages 9 through 14 years.
A three-dose series (0, 1-2, 6 months) for persons who initiate vaccination at ages 15 through 45 years, and for immunocompromised pts
Recommended lab screening for Pediatrics patients between the ages of 9-11?
Lipid panel to screen for familial hypercholesterolemia
Camila Cabello's ex wrote this song in 2015 about mending a broken heart post breakup, not laceration repairs
Stitches
by shawn mendes
35 yo G3P2 at 25 weeks presents due to palpation of breast mass that has been persistent for 6 weeks. She has family hx of breast cancer in her mother and maternal aunt. What would be your best choice of imaging modality for detecting breast cancer?
mammogram, can start with US but likely will need mammo
low dose radiation, need abdominal shielding
What are the different tests to screen for colon cancer?
colonoscopy q10 years for average risk
blood-based ctDNA tests (e.g., Shield) as second-line only, appropriate for patients who decline or cannot complete preferred tests -- overall lower sensitivity for detecting stage 1 cancer and precancerous lesions
The next generation-ng-mt-sDNA test (brand name Cologuard) Q3 years
mt-sRNA test (brand name ColoSense)--analyzes stool samples for specific RNA markers and hemoglobin. Q3 years
High-sensitivity guaiac-based tests (gFOBT), every year
High-sensitivity fecal immunochemical tests (FIT ) tests, every year
What are the recommended guidelines for stopping cervical cancer screening?
If you are 65 or older— can stop if no history of cervical changes and either three negative Pap test results in a row or two negative HPV tests in a row, or two negative co-test results in a row within the past 10 years.
The most recent test should have been performed within the past 3 (PAP cytology) or 5 years (HPV test), depending on the type of test
According the 2026 ACC/AHA/AACVPR Dyslipidemia Guideline and the National Lipid Association recommend this lab one-time testing for all adults to gauge overall cardiovascular risk.
LP(a)
In Grey's Anatomy, this song became iconic after being featured during the most depressing parts of the show
How to Save a Life by The Fray
46-year-old woman on hormone replacement therapy for 1 year comes in for a physical, her last mammogram was x1 year ago and was normal. How often should she be getting breast cancer screening on HRT and what imaging is the preferred choice?
Continue age-appropriate screening with mammography (no routine change in interval or solely for HRT)
counsel about slightly increased risk and reduced mammographic sensitivity with increased density, and consider supplemental imaging only if additional risk factors or dense breasts are present.
48 yo presents post-colonoscopy, where 4 hyperplastic polyps were removed that were ≥10 mm. What is the recommended follow-up for the next colonoscopy?
repeat colonoscopy in 3-5 years.
A 3-year follow-up interval is favored if concern about pathologist consistency in distinguishing SSPs from HPs, quality of bowel preparation, or complete polyp excision
whereas a 5-year interval is favored if low concerns for consistency in distinguishing between SSP and HP by the pathologist, adequate bowel preparation, and confident complete polyp excision.
Guidelines for cervical cancer screening in patients with HIV (3 major guidelines)
Screening in Women living with HIV have 4x the risk of cervical cancer compared to women in the general population,
Age 21-29: q12 months for 3 years, if normal then can space q3 yrs
Age 30+: co-testing (cytology and HPV testing) q3 years
Lifetime screening, does not stop at age of 65
List 4 criteria that would exclude a patient from HPV only self Collection screening for cervical cancer?
Not eligible for self-collection HPV are those whose screening recommendations are based on cytology HIV+, DES exposed, or ages 21-24, AUB/“symptomatic”
Nick Jonas wrote this song about his struggle with Type 1 Diabetes in 2008
“A Little Bit Longer”