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27 Cards in this Set
- Front
- Back
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What is the recommendation for screening for AAA?
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Screen for AAA in men with smoking history from age 65-75.
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Should women be screened for AAA?
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No.
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What are the USPSTF guidelines for aspirin use in men?
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Men 45-79 1 should take aspirin when the prevention of an MI outweighs the risk of GI bleed.
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What are the USPSTF guidelines for aspirin use in women?
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Women 55-79 should take aspirin when the prevention of a CVA outweighs the risk of a GI bleed. Women under 55 should not take aspirin for prevention.
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What are the USPSTF recommendations for screen for high blood pressure?
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Start screening at 18.
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Should patients be screened for asymptomatic carotid artery stenosis?
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No
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What is the USPSTF recommendation for screening for CAD in low risk patients?
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Don't. No EKG, exercise treadmill or otherwise.
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What is the USPSTF recommendation for screening for HLP in men?
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Start screening at 35 for low risk, and 20 for men with high risk of CAD.
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What is the USPSTF recommendation for screening for HLP in women?
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Start screening at 45 for low risk women, 20 for women with high risk for CAD
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What is the USPSTF recommendation for screening for PAD?
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Don't do it
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What is the USPSTF recommendation for using Aspirin or NSAIDs to prevent CRC?
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It isn't necessary in patients with average risk of CRC, although it does work.
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What is the USPSTF recommendation for screening for bladder cancer?
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It isn't recommended. Too many false positives (detected cancer no likely to become invasive)
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What is the USPSTF recommendation for testing for the BRCA mutation?
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Testing is recommended only in patients with a family history associated with the BCRA gene.
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What is the USPSTF recommendation for screening for breast cancer?
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Mammography is recommended biennially from age 50 to 75. Screening may begin before that time based on individual wishes.
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What is the USPSTF recommendation for the clinical and self breast exams?
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Self breast exams are not recommended. Insufficient evidence exists to recommend the cincal breast exam.
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What is the USPSTF recommendtation for the use of raloxifen/tamoxifen?
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Raloxifen and tamoxifen should only be used in women who are high risk for breast cancer. The benefit is most in women at risk for ER+ breast cancer, and risks include VTE and systemic SE (hot flashes, etc) and, with tamoxifen, endometrial carcinoma.
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What is the USPSTF recommendation for screening for cervical cancer?
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Screen all women who are sexually active and have a cervix, specifically by age 21 or 3 years after initial sexual activity. Don't screen women over 65 who have had adequate screening and aren't low risk, and don't screen women who have had a hysterectomy for benign reasons.
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What specific guidelines exist wrt the intervals of cervical cancer screening?
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Screen at least every 3 years, and lengthening the interval at age 30 and no risk factors.
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What are the USPSTF recommendations for screeing for CRC?
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Screen using fecal occult blood, sigmoidoscopy or colonoscopy from 50-75. Only individual considerations should be made for screening from 76-85, and do not screen over 85.
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Compare the sensitivity of the different screening modalities for CRC, most to least.
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CSP, flex sig and hemoccult SENSA, fecal immunochemical, hemoccult
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Compare the sensitivity of the different screening modalities for CRC, most to least.
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CSP and Flex sig, Hemoccult and fecal immunochemical, hemoccult SENSA
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What are the recommended intervals for CRC screening modalities?
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CSP 10 years, Flex sig 5 years, FOBT annually
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What is the USPSTF recommendation for screening for lung cancer?
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There is insufficient evidence to recommend for or against it.
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What is the USPSTF recommendation for screening for ovarian cancer?
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Don't screen for ovarian cancer.
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What is the USPSTF recommendation for screening for pancreatic cancer?
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Don't. There is no effective way to screen for pancreatic cancer.
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What is the USPSTF recommendation for screening for prostate cancer?
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There is insufficient evidence that screening up to age 75 improved treatment after clinical detection, although PSA can detect some types. Patients over age 75 should not be screened due to a life expectancy of less than 10 years.
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What is the USPSTF recommendation for screening for skin cancer?
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there is insufficient evidence for either physician or patient exams, but patients over 65, those with irregular moles or those with more than 50 moles are at greater risk.
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