Vaccine-Nation
All individuals of this age are recommended to receive the HPV series.
•Series can be begin as early as 9
•Generally recommended to start at 11-12
•Recommended through age 26
•Shared decision making 27-45
*CDC/ACIP
After the immediate newborn period, these are the first routine screening lab tests recommended by the AAP.
Lead and Hemoglobin at 12 mo
Colon cancer screening begins at this age for men and women of average risk
USPSTF: 50 (Grade A), 45 (Grade B)
This supplement is recommended during the pre-conception period and throughout pregnancy, regardless of dietary intake, to prevent this fetal anomaly.
Folic acid for the prevention of neural tube defects.
This is the USPSTF recommendation for breast cancer screening in the general population.
The USPSTF recommends biennial screening mammography for women aged 40 to 74 years. (Grade B)
The CDC recently updated the recommendation for pneumococcal vaccination in adults. At what age should most adults get the pneumococcal vaccine?
At age 50, adults who have not already received a pneumococcal conjugate vaccine, or whose vaccination history is known, should receive:
PCV15, PCV20 or PCV21
(but don’t use 15…)
The CDC and USPSTF previously recommend one-time screening for all adults born between 1945-1965 for this disease.
This was updated to include all adults ages 18-79.
Hepatitis C
*USPSTF Grade B
The current guidelines for cervical cancer screening for an average risk woman at age 25
Pap smear with cytology beginning at age 21 every 3 years.
Abnormal cytology reflexes to HPV testing.
*USPSTF/ACOG/AAFP
This is the screening test used to screen for gestational diabetes.
1 hr oral glucose challenge test (OGCT) at 24-28 wga
If abnormal, a 2 or 3 hr glucose tolerance test follows
*USPSTF/ACOG
USPSTF Evidence Grade for carotid artery stenosis screening in asymptomatic adults.
Grade D
Consider exam and risk factors to determine who needs to be screened, but there is no validated tool for this.
The recommended ages for meningococcal vaccination in a healthy individual.
One dose at age 11-12 yrs with a booster at 16 yrs.
If first vaccinated after 16 yrs, no booster.
*CDC
Screening for HIV is recommended for individuals at average risk in this age group.
USPSTF: ages 15-65
CDC: 13-64 at least once per lifetime
All pregnant women
The current guidelines for cervical cancer screening for an average risk woman at age 35
•Pap smear with cytology + HPV (co-testing) every 5 years.
•hrHPV testing alone every 5 years
•Cytology alone (with reflex) every 3 years.
Screening ends at age 65.
This vaccine should be given to all pregnant women, with every pregnancy, between 27 and 36 weeks
Tdap
The DEXA scan screening for osteoporosis is indicated for this population.
Women aged 65 and older
and in younger postmenopausal women at increased risk for osteoporosis.
*USPSTF
Outbreaks of this disease peaked in 2019 then again in 2025 at the highest rate in over 25 years, particularly in communities with low rates of vaccination.
Measles
Measles Cases and Outbreaks | Measles (Rubeola) | CDC
Despite common practice, this screening test is only recommended by the USPSTF for:
• Men 35 and older at average risk for CAD
•Woman 45 and older at increased risk of CAD
Lipid panel
Screening in men 35 and older GRADE A
Screening in women 45 and older GRADE A
Screening in men 20-35 at increased CV risk GRADE B
Screening in women 20-45 at increased CV risk GRADE B
The screening method options for colorectal cancer screening.
gFOBT/FIT/sDNA annually
Flexible Sigmoidoscopy every 5 yrs
CT Colonography every 5 yrs
Colonoscopy every 10 yrs
*USPSTF
This infection is one of the only maternal contraindications to breastfeeding.
1. Maternal HIV infection, untreated or without sustained viral suppression
2. Maternal active, untreated TB infection (can feed expressed milk)
3. Active HSV lesion of the nipple
4. Ebola
5. Mpox
What test is used to screen for lung cancer in patients aged 55-80 with a 30 pack year smoking history.
The USPSTF recommends annual screening for lung cancer with low-dose computed tomography in adults ages 50 to 80 years who have a 20 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.
Grade B recommendation
This is the only absolute contraindication to the Rotavirus vaccine (other than anaphylactic allergy or severe immune deficiency).
History of Intussusception
Routine PSA testing is recommended for this population
No one…sort of
USPSTF:
Individualized decision making for men aged 55-69 (Grade C).
Recommends against screening men aged 70 and older.
In a patient with a family history of colon cancer, these are the guidelines for colorectal cancer screening.
If 1st first degree relative was diagnosed before age 60 or 2 first degree relatives diagnosed at any ageà
start screening at 40 or 10 yrs before the age of diagnosis, whichever is earlier.
*USPSTF, ACS, ACG
Give 3 of the tests on the CT State newborn screen
2.4 Di Deficiency
MHBD
2-MBCD Deficiency
HMG-CoA Lyase deficiency
3-MCC deficiency
3-MGA type 1
Adrenoleukodystrophy
Argininemia
ASA Deficiency
BKT Deficiency
Biotinidase deficiency
CAT deficiency
CPT-2 Deficiency
CPT-1 Deficiency
Carnitine Uptake Defect
Citrullinemia
Cbl A,B Deficiency
Cbl C,D Deficiency
Congenital Adrenal Hyperplasia
Congenital Hypothyroidism
Cystic Fibrosis
Galactosemia
GA-1
GAMT Deficiency
Homocystinuria
HIV
HMET
IBCD deficiency
IVA
Krabbe Disease
LCHAD Deficiency
Malonic Aciduria
Maple Syrup Urine Disease
MCKAT Deficiency
MCAD Deficiency
M/SCHAD deficiency
MUT
Mucopolysaccharidosis type 1
MADD
Multiple Carboxylase Deficiency
PKU
Pompe Disease (GAA)
Propionic Acidemia
SCID
SCAD Deficiency
Sickle cell disease and trait
Spinal Muscle Atrophy
Thalassemia (alpha, beta)
Trifunctional Protein Deficiency
Tryptosemia type1, type 2, type 3
VLCAD deficiency
Congenital CMV***
Men aged 65-75 who have ever smoked are recommended to receive this one time screening.
Ultrasound screening for AAA
*USPSTF Grade B