Disease Screening
Screening test recommended for men and women above age 50 with a low trauma fracture
What is a Bone Mineral Density Test or DEXA?
- Women > 65 (FRAX tool to calculate risk)
Screening options for this malignancy include annual, every 5 years, or every 10 years
What is colorectal cancer?
- FIT, sigmoidoscopy, or colonoscopy
One-time vaccine given to all adults with a booster dose recommended every 10 years
What is TDaP?
- Recommended once if no prior immunization followed by a Td booster every 10 years.
These three microvascular screenings should be ordered annually for diabetes care
What are nephropathy screening (urine alb/cr), neuropathy screening with a monofilament exam, and retinopathy screen?
Sacramento is located on the confluence of these two rivers
What are the American River and the Sacramento River?
Preferred imaging modality for abdominal aortic aneurysm screening
What is an ultrasound?
- Age 65-75 for men only, prior smoking hx
- CT scan sufficient
A recommended model for clinicians to employ when discussing prostate cancer screening recommendations
What is shared decision making?
- Prostate CA: age 55-69 for average risk (USPTF guidelines). ACS recommends 40-45 for high risk/50-55 for average risk.
Immunization against this gram positive bacteria is recommended for all young adults with chronic conditions, an immunocompromising condition, AND/OR at age 65
What is streptococcus pneumoniae?
- Prevnar 20 (or PCV 15--> 23)
(consider PneumoRecs Vax Advisor App)
Diabetes screening should start at this age if no other risk factors are present
What is age 45? (per ADA)
- Many risk factors that warrant earlier screening (BMI > 25 AND physical inactivity, first deg relative, HTN, TG > 250)
This local sports team has a strong partnership with UC Davis Health
Who is Sacramento Republic FC?
California Storm also accepted
The USPSTF recommends one-time screening for all adults aged 18 to 79 for this viral infection.
What is Hepatitis C screening?
(HIV screening- age range 15-65)
These two organizations have differing recommendations on the age to start and frequency of mammography screening for average-risk women.
What are American Cancer Society and USPSTF?
ACS: Start at age 45, annual screening until 54, then biennial.
USPSTF: Start at age 40, biennial screening.
Also accepted: ACOG recommends starting at 40.
A recombinant vaccine series given at age 50
What is the Recombinant Zoster Vaccine?
- Shingrix
- Series given at time 0 and 2-6 months.
Fasting plasma glucose that correlates with an A1c of 5.7-6.4% or a diagnosis of pre-diabetes
What is fasting plasma glucose of 100-125?
- if pre-diabetes: repeat in one year
- if normal: repeat in 3 years
Sacramento is one of the top producers and exporters of this product. There is an active factory in midtown best known for its production.
What are almonds?
- Blue Diamond Almond Factory
!!!!!DAILY DOUBLE!!!!!
Two Hepatitis B lab results, when positive, that indicate a prior infection AND immunity
What are a positive Hepatitis B surface antibody (anti-HBs) and positive Hepatitis B core antibody IgG (anti-HBc)?
- other expected result would be negative HBsAg
- CDC guideline (2024): All adults aged 19–59 years should receive the Hepatitis B vaccine, regardless of risk factors. >60 if risk factors.
A pack-year history that qualifies a patient for an annual low dose CT for lung cancer screening
What is a 20-pack year history?
- current tobacco use or quit within 15 years
- Age 50-80
The upper age limit for the HPV series
What is 26 years old?
- Recommended as catch up series for ages 19-26 x 3 doses (0,2,4 months)
Goal blood pressure for most patients with diabetes
What is < 130/80 mm Hg? (ACC/AHA with SPRINT) OR < 140/90 (JNC8, ADA with ACCORD-BP)
The oldest art museum west of the Mississippi
What is the Crocker Art Museum?
- Founded in 1885
The USPSTF recommends screening adults for unhealthy alcohol use using one of these brief, validated tools.
What is single item screening question or AUDIT-C?
Single-item question: “How many times in the past year have you had 5 (for men) or 4 (for women and older adults) or more drinks in a day?”
AUDIT-C: A 3-question version of the full AUDIT focused on alcohol consumption.
This is the recommended action for cervical cancer screening in patients over age 65 who have had three consecutive normal Pap tests within the past 10 years.
What is the timing for discontinuing cervical cancer screening?
- And low risk.
The dosing schedule for hepatitis B vaccination
What is 2 doses given 4 weeks apart?
(*also accept 0, 1, and 6 months)
- if missed dose: no need to restart series just give missed doses. (separate 2nd and 3rd dose by 2 months)
- Recommended for all < 60
Goal A1c for 70 year-old man with DM2 with proliferative retinopathy, nephropathy, and CAD
What is goal A1c < 8?
- limited life expectancy, elderly, history of chronic kidney or liver disease, or advanced diabetes with multiple co-morbidities
Current mayor of Sacramento
Who is the Kevin McCarty?