You make my heart skip a beat <^3
True or False? The USPSTF recommends AGAINST vitamin D supplementation to prevent falls in community-dwelling adults age 65 years and older who are at increased risk for falls.
False
The USPSTF recommends against daily supplementation with 400 IU or less of vitamin D and 1000 mg or less of calcium for the primary prevention of fractures in community-dwelling, postmenopausal women. GRADE D APRIL 2018
What are the USPSTF guidelines for screening for colorectal cancer?
The USPSTF recommends screening for colorectal cancer in adults aged 45 to 49 years. GRADE B MAY 2021
The USPSTF recommends screening for colorectal cancer in all adults aged 50 to 75 years. GRADE A MAY 2021
What are the recommendations for screening for Chlamydia?
The USPSTF recommends screening for chlamydia in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection. GRADE B SEPT 2021
True or False? The AAFP recommends AGAINST screening with resting or exercise electrocardiography (ECG) for the prediction of coronary heart disease (CHD) events in asymptomatic adults at low risk for CHD events.
True It is not recommended.
The USPSTF recommends against screening with resting or exercise electrocardiography (ECG) to prevent cardiovascular disease (CVD) events in asymptomatic adults at low risk of CVD events.
GRADE D recommendation June 2018
At what age does screening for alcohol misuse start?
The USPSTF recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use.
GRADE B NOV 2018
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening and brief behavioral counseling interventions for alcohol use in primary care settings in adolescents aged 12 to 17 years.
What are the USPSTF recommendations for screening mammography?
The USPSTF recommends biennial screening mammography for women aged 50 to 74 years. GRADE B JULY 2016
*Currently in process to be changed
What are the recommendations for screening for gonorrhea?
The USPSTF recommends screening for gonorrhea in all sexually active women 24 years or younger and in women 25 years or older who are at increased risk for infection. GRADE B SEPT 2021
What are the recommendations for screening for depression?
The USPSTF recommends screening for major depressive disorder (MDD) in adolescents aged 12 to 18 years. GRADE B OCT 2022
The USPSTF recommends screening for depression in the adult population, including pregnant and postpartum persons, as well as older adults. GRADE B JUNE 2023
What is the USPSTF recommendation for screening for AAA?
The USPSTF recommends 1-time screening for abdominal aortic aneurysm (AAA) with ultrasonography in men aged 65 to 75 years who have ever smoked. GRADE B DEC 2019
The USPSTF recommends that clinicians selectively offer screening for AAA with ultrasonography in men aged 65 to 75 years who have never smoked rather than routinely screening all men in this group. GRADE C DEC 2019
The USPSTF recommends against routine screening for AAA with ultrasonography in women who have never smoked and have no family history of AAA. GRADE D DEC 2019
What are the USPSTF recommendations regarding use of fluoride varnish to teeth and at what age is it recommended?
The USPSTF recommends that primary care clinicians apply fluoride varnish to the primary teeth of all infants and children starting at the age of primary tooth eruption.
The USPSTF recommends that primary care clinicians prescribe oral fluoride supplementation starting at age 6 months for children whose water supply is deficient in fluoride.
GRADE B DEC 2021
What are the recommendations for lung cancer screening?
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. GRADE B MARCH 2021
What are recommendations for all newborns for prevention of gonococcal ophthalmia neonatorum?
The USPSTF recommends prophylactic ocular topical medication for all newborns to prevent gonococcal ophthalmia neonatorum. GRADE A JAN 2019
Who should be screened for obesity?
The USPSTF recommends that clinicians offer or refer adults with a body mass index (BMI) of 30 or higher (calculated as weight in kilograms divided by height in meters squared) to intensive, multicomponent behavioral interventions. GRADE B SEPT 2018
The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older and offer or refer them to comprehensive, intensive behavioral interventions to promote improvements in weight status. GRADE B JUNE 2017
What are recommendations for ASA initiation, for prevention of what conditions and at what ages?
The decision to initiate low-dose aspirin use for the primary prevention of CVD in adults aged 40 to 59 years who have a 10% or greater 10-year CVD risk should be an individual one. Evidence indicates that the net benefit of aspirin use in this group is small. Persons who are not at increased risk for bleeding and are willing to take low-dose aspirin daily are more likely to benefit. GRADE C APRIL 2022
The USPSTF recommends against initiating low-dose aspirin use for the primary prevention of CVD in adults 60 years or older. GRADE D APRIL 2022
Does the USPSTF recommend screening with a PSA level for prostate cancer?
No.
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. GRADE C
The U.S. Preventive Services Task Force (USPSTF) recommends against prostate-specific antigen (PSA)-based screening for prostate cancer. GRADE D
What are the recommendations for cervical cancer screening?
The USPSTF recommends screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years. 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). See the Clinical Considerations section for the relative benefits and harms of alternative screening strategies for women 21 years or older. GRADE A AUG 2018
What are the recommendations for screening for HIV?
The USPSTF recommends that clinicians screen for HIV infection in adolescents and adults aged 15 to 65 years. Younger adolescents and older adults who are at increased risk of infection should also be screened. See the Clinical Considerations section for more information about assessment of risk, screening intervals, and rescreening in pregnancy. GRADE A JUNE 2019
The USPSTF recommends that clinicians screen for HIV infection in all pregnant persons, including those who present in labor or at delivery whose HIV status is unknown.
What are the recommendations regarding counseling for tobacco use?
The USPSTF recommends that clinicians ask all adults about tobacco use, advise them to stop using tobacco, and provide behavioral interventions and US Food and Drug Administration (FDA)--approved pharmacotherapy for cessation to nonpregnant adults who use tobacco. GRADE JAN 2021
The USPSTF recommends that clinicians ask all pregnant persons about tobacco use, advise them to stop using tobacco, and provide behavioral interventions for cessation to pregnant persons who use tobacco. GRADE JAN 2021
The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use among school-aged children and adolescents. GRADE A APRIL 2020
What are the USPSTF guidelines on statin preventive medication?
The USPSTF recommends that clinicians prescribe a statin for the primary prevention of CVD for adults aged 40 to 75 years who have 1 or more CVD risk factors (i.e. dyslipidemia, diabetes, hypertension, or smoking) and an estimated 10-year risk of a cardiovascular event of 10% or greater. GRADE B AUG 2022
The USPSTF recommends that clinicians selectively offer a statin for the primary prevention of CVD for adults aged 40 to 75 years who have 1 or more CVD risk factors (i.e dyslipidemia, diabetes, hypertension, or smoking) and an estimated 10-year risk of a cardiovascular event of 7.5% to less than 10%. GRADE C AUG 2022
What do the different grades in the USPSTF guidelines stand for?
A- The USPSTF recommends the service. There is high certainty that the net benefit is substantial. Offer or provide this service.
B- The USPSTF recommends the service. There is high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial. Offer or provide this service.
C- The USPSTF recommends selectively offering or providing this service to individual patients based on professional judgment and patient preferences. There is at least moderate certainty that the net benefit is small. Offer or provide this service for selected patients depending on individual circumstances.
D- The USPSTF recommends against the service. There is moderate or high certainty that the service has no net benefit or that the harms outweigh the benefits. Discourage the use of this service.
I- The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of the service. Evidence is lacking, of poor quality, or conflicting, and the balance of benefits and harms cannot be determined. Read the clinical considerations section of USPSTF Recommendation Statement. If the service is offered, patients should understand the uncertainty about the balance of benefits and harms.
What are the USPSTF recommendations on breast cancer preventive medications?
The USPSTF recommends that clinicians offer to prescribe risk-reducing medications, such as tamoxifen, raloxifene, or aromatase inhibitors, to women who are at increased risk for breast cancer and at low risk for adverse medication effects. GRADE B SEPT 20139
What are the screening guidelines for HEP C virus infection?
The USPSTF recommends screening for hepatitis C virus (HCV) infection in adults aged 18 to 79 years.
GRADE B: MARCH 2020
What are the recommendations for screening for intimate partner violence?
The USPSTF recommends that clinicians screen for intimate partner violence (IPV) in women of reproductive age and provide or refer women who screen positive to ongoing support services. GRADE B OCT 2018