Cancer Screening
Prostate cancer screening is a ____ Recommendation.
Answer: C
-For men aged 55 to 69 years, the decision to undergo periodic prostate-specific antigen (PSA)-based screening for prostate cancer should be an individual one. Before deciding whether to be screened, men should have an opportunity to discuss the potential benefits and harms of screening with their clinician and to incorporate their values and preferences in the decision. Screening offers a small potential benefit of reducing the chance of death from prostate cancer in some men. However, many men will experience potential harms of screening, including false-positive results that require additional testing and possible prostate biopsy; overdiagnosis and overtreatment; and treatment complications, such as incontinence and erectile dysfunction. In determining whether this service is appropriate in individual cases, patients and clinicians should consider the balance of benefits and harms on the basis of family history, race/ethnicity, comorbid medical conditions, patient values about the benefits and harms of screening and treatment-specific outcomes, and other health needs. Clinicians should not screen men who do not express a preference for screening.
Pregnant women should be screened for ____________ using urine culture.
Answer: asymptomatic bacteriuria
-The USPSTF recommends screening for asymptomatic bacteriuria using urine culture in pregnant persons. This is a B recommendation.
Prescribing preexposure prophylaxis for persons who are at increased risk of HIV acquisition is ___ recommendation.
Answer: an A
Adults _____ years or older should be screened for Hypertension.
Answer: 18
The USPSTF recommends prophylactic ocular topical medication for ____ newborns to prevent gonococcal ophthalmia neonatorum.
Answer: All
The USPSTF recommends screening for colorectal cancer in adults aged _________ years.
Answer: 45-75
-Update recommendations are age 45-49 is a B recommendation and 50-75 is an A recommendation. Therefore, screening should start at 45.
All persons planning to or who could become pregnant should take a daily supplement containing ___ to ___ mg of ________.
Answers: 0.4 to 0.8 mg or 400 to 800 mcg and Folic Acid
-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. This is an A recommendation.
Tamoxifen, raloxifene, or aromatase inhibitors, are medications that should be offered to women 35 and older who are at increased risk for ______ and at low risk for adverse medication effects.
Answer: Breast Cancer
-The USPSTF recommends that clinicians offer to prescribe risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors, to women (35 and older) who are at increased risk for breast cancer and at low risk for adverse medication effects. This is a B recommendation.
USPSTF recommends obtaining blood pressure measurements ________________ for diagnostic confirmation before starting HTN treatment.
Answer: outside of the clinical setting
The USPSTF recommends screening for major depressive disorder (MDD) in adolescents aged _______ years.
Answer: 12 to 18 years.
The USPSTF recommends screening for breast cancer every ____ years with mammography for women aged ______ years.
Answer: 2 and 40-74
-The USPSTF recommends biennial screening mammography for women aged 40 to 74 years. This is a B Recommendation.
-Outside of USPTF, there are recommendations from various organizations that women at increased risk should have screening started 5-10 years earlier but no earlier than age 30.
Asymptomatic pregnant women at _____ weeks of gestation or after should be screened for gestational diabetes.
Answer: 24
Osteoporosis screening for average risk women should start at age ____
Answer: 65
-The USPSTF recommends screening for osteoporosis to prevent osteoporotic fractures in women 65 years or older.
-The USPSTF recommends screening for osteoporosis to prevent osteoporotic fractures in postmenopausal women younger than 65 years who are at increased risk for an osteoporotic fracture as estimated by clinical risk assessment.
Offering statins to individuals with 1 or more CVD risk factors and ASCVD risk of 7.5% or greater is a _____ Recommendation.
Answer: C
The USPSTF recommends vision screening at least once in all children aged _____ years to detect amblyopia or its risk factors.
Answer: 3 to 5
The USPSTF recommends screening for cervical cancer every ___ years with ______________ in women aged 21 to 29 years.
Answer: 3 and cervical cytology alone
-The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years.
The USPSTF recommends the use of _______________ as preventive medication after 12 weeks of gestation in persons who are at high risk for preeclampsia.
Answer: low-dose aspirin (81 mg/day)
For women aged __________, the USPSTF recommends cervical cancer screening every 3 years with cervical cytology alone, every ______ years with high-risk human papillomavirus (hrHPV) testing alone, or every ______ years with hrHPV testing in combination with cytology (cotesting).
Answers: 30-65, 5, and 5
-For women aged 30 to 65 years, the USPSTF recommends screening every 3 years with cervical cytology alone, every 5 years with high-risk human papillomavirus (hrHPV) testing alone, or every 5 years with hrHPV testing in combination with cytology (cotesting). This is an A Recommendation.
The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged _______ years who have _______.
Answers: 65-75 and ever smoked
The USPSTF recommends screening for anxiety in children and adolescents aged _______ years.
Answer: 8 to 18 years
Lung cancer screening with low-dose computed tomography (LDCT) should be started in adults aged ________ years who have a _____ pack-year smoking history and currently smoke or have quit within the past _______ years.
Answers: 50 to 80, 20, and 15
-The USPSTF recommends annual screening for lung cancer with low-dose computed tomography (LDCT) in adults aged 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.
The USPSTF recommends repeated Rh(D) antibody testing for all unsensitized Rh(D)-negative women at 24 to 28 weeks' gestation, unless the __________________.
Answer: biological father is Rh(D)-negative.
Gonorrhea and Chlamydia Screening should be offered to all sexually active women age ____ and below, and in age _____ and above for women who are high risk.
Answers: 24 and 25
-The USPSTF recommends screening for gonorrhea and chlamydia in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection.
Statins should be prescribed in adults age ________ who have 1 or more CVD risk factors and a ASCVD risk of _____ or greater.
Answers: 40-75 and 10%
The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation starting at age ____ months for children whose water supply is deficient in fluoride.
Answer: 6 months