Vaccines
Cancer
General
Peds/Obs
Seniors
100

Three vaccines to consider to patient older than 50yo

Consider Herpes Zoster (>50yo), Pneumococcal (>65yo) and Influenza (q 1 year, especially >65yo)

100

Breast cancer screening guidelines  for average risk

Mammogram for 50-74yo q1-2y

100

Blood pressure screening

Recommended at all appropriate primary care visits

100

Asymptomatic bacteriuria screening

Screen all pregnant women once during the first trimester with urine culture for asymptomatic bacteriuria

100

Recommendation for vision screening over 65yo

No vision screening recommended in primary care settings for patient 65y and older 

200

Tetanus shot frequency

every 10 years

200

Lung cancer screening guidelines

Low dose CT q1y x3 if 55-74yo and has 30 or more pack years and currently smoking OR quit less than 15y ago

200

Lipid Screening guidelines

50-75yo q5 years

200

Anxiety and Depression screening in children/adolescents

Recommendation is to screen for anxiety in patients 8-18yo and for major depressive disorder in 12-18yo
200

Cognitive Impairment 

Do not screening asymptomatic adults (≥65 years of age)

300

List at least 3 high risk groups in which you should consider administering a pneumococcal vaccine in

DM, chronic kidney disease, HIV, smoker, homeless, IVDU, cirrhosis

300

Prostate cancer screening guidelines

Rectal Exam for men over 50 every year. PSA is not recommended as routine screening test. It should be interpreted in conjunction with the DRE. Patients are invited to talk about the harms and benefits of testing with their physicians.

300

Diabetes Screening guidelines

Hgb A1C q1-5y starting at 40yo

Screen q6-12m if "very high risk"

300

Folic Acid supplementation

The USPSTF recommends that all persons planning to or who could become pregnant take a daily supplement containing 0.4 to 0.8 mg (400 to 800 mcg) of folic acid.

300

List medications for secondary prevention of Cardiovascular events

Statin (greatest benefit), ACEI/ARB, BB, anti-platelet agent 

400

Age group in which the meningococcal quadrivalent vaccine is recommended in

Recommended for teens in grade 9 or between 12-17 years of age

400

Colon cancer screening guidelines for average and high risk groups

Average risk: 50-74yo with FOBT/FIT q2y or sigmoidoscopy q10yrs

High risk: colonoscopy q5y starting at 40 or 10 younger than the age of diagnosis of youngest first degree relative with colon cancer

** if patient has personal hx of adenomas then colonoscopy q3-5 years

400

Latent Tuberculosis screening

Screening is recommended for populations at increased risk such as:

- Live or spend time with someone who has TB

- Were born in parts of the world where TB is common

- Live or have lived in crowded conditions where TB can easily spread, such as nursing homes, homeless shelters, or correctional facilities

- Work in a hospital or nursing home.

Screen with tuberculin skin test or interferon gamma release assay blood test

400

An optimal time to administer the acellular pertussis vaccine in pregnant population

27 – 32 weeks of gestation

400

Abdominal Aortic Aneurysm Screening guidelines

Screen every male aged 65-80yo with one time abdominal ultrasound.

(Screen females between 65-80yo only IF hx of smoking or CVD is present as per CCFP exam topics) 

500

List all the vaccines that a 1-year-old child in Canada should have ideally received

Diphtheria, tetanus, pertussis, hepatitis B, polio, Haemophilus influenzae type b (DTaP-HB-IPV-Hib) vaccine. Pneumococcal conjugate vaccine. Meningococcal C conjugate vaccine. Rotavirus vaccine. Influenza. MMR. Varicella.

500

Current cervical cancer screening guidelines

Pap test for anyone with cervix  aged 25 to 69 years every 3 years. Patients 70 years and older may stop screening after 3 successive normal paps in the previous 10 years

Cervix self-screening with a swab for anyone aged 25 to 69 years every 5 years.

500

STI screening guidelines

Chlamydia and Gonorrhea:

Per CTFPHSC, screen all sexually active individuals under 30 years of age who are not known to belong to a high-risk group, annually, for chlamydia and gonorrhea at primary care visits, using a self- or clinician-collected sample. 

Per Public Health Agency of Canada, screen all sexually active women and men age 25y or younger, all pregnant women, anyone treated for chlamydia 6m after treatment, anyone over 25yo who is at higher risk (new partner or partners), anyone bisexual or transgender

Syphilis:

Screen all pregnant patients at first prenatal and anyone with high risk sexual behaviors ( men who are sexually active with other men, have HIV etc)


500

Screening tests to be done at the first pre-natal visit

Beta-hCG, ABO, RH, antibody screen, CBC, Rubella titres, Hep sAg, VDLR, HIV, G+C, urine culture.

Also consider doing TSH, DM, Hb electrophoresis, ferritin, B12, Varicella, Hep C, toxo, CMV, TB, drug screen, pap

500

Fragility fractures screening guidelines

Risk assessment-first screening is recommended for females 65 years and older with FRAX risk assessment tool. If afterwards pharmacotherapy is still considered then Bone Mass Density should be ordered using dual energy X-ray absorptiometry of the femoral neck and the FRAX re-calculated with BMD. 

** Ensure calcium and Vitamin D intake as well

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