When to Start
Grade Matters
Risk Based Screening
To do or not to do.
Clinical Curveballs
100

This screening begins at age 45 for average risk adults. 

What is colorectal cancer screening?

100

This grade means “high certainty that are the net benefit is substantial.”

What is Grade A?

100

Lung cancer screening applies to adults with a ___ pack year smoking history. 

What is greater then or equal to 20 pack years?

100
Routine PSA screening in all men without discussion is discouraged - falls under this principle. 
What is avoid routine/no universal screening?
100

A 48 year old average risk patient asks for colon cancer screening - what do you do?

What is start screening now?

200

Begin this cancer screening at age 40 for average- risk women. 

What is mammography?

200

This grade suggests clinicians should offer selectively based on individual circumstances with shared decision making. 

What is Grade C?

200

AAA screening applies to men aged 65-75 who have ever done this. 

What is smoked?
200

Screening for this cancer in asymptomatic male adolescents and adults is not recommended. 

What is testicular cancer?

200

A 70 year old with limited life expectancy asks about cancer screening - next step?

What is individualized/consider stopping?

300

Start screening persons aged 12+ for this common mental health condition. 

What is depression?

300

This grade indicates insufficient evidence. 

What is Grade I?

300

BRCA risk assignment is recommended for patients with this type of family history. 

What is breast, ovarian, tubal or peritoneal cancer?

300

Routine screening pelvic exams in asymptomatic, non-pregnant women recommended or not?

What is not recommended (low value)?

300

A 55 year old refuses colonoscopy. What is an alternative option?

What is FIT testing or stool based DNA screening. 

400
Screen pregnant patients between 24-28 weeks of pregnancy for this endocrine condition. 

What is gestational diabetes?

400

Stating for primary prevention (certain risk groups) are what grade?

What is Grade B?

400

Statin initiation depends on what score of this commonly used risk calculator. 

What is 10% ASCVD risk score?

400

Cervical cancer screening is NOT recommended after this age (if prior normal results). 

What is 65?

400

This daily dose range of folic acid is recommended for people planning or capable of pregnancy. 

What is 0.4 to 0.8mg (400-800mcg)?

500

Lung cancer screening CT is done how often in eligible smokers?

What is annually?

500

PSA based screening falls under which grade category?

What is Grade C (shared decision making)?

500

Screening adults before age 35 for prediabetes and type 2 diabetes should be considered in patients with overweight or obesity who belong to these disproportionately affected populations? Name at least two. 

What are high risk racial/ethnic groups (American indianalaska native, black, Hispanic/latino, Asian American, native Hawaiian/Pacific Islander)?

500

The USPSTF offers an “I statement” (insufficient evidence) for screening this population for abdominal aortic aneurysm. 

Who are women aged 65-75 who have ever smoked?

500

Screening for this vaginal condition in asymptomatic pregnant persons at increased risk for preterm delivery has insufficient evidence. 

What is bacterial vaginosis (BV)?