Uspstf Guidelines

Front 1

AAA Screening?

Back 1

No A
B: M 65-75 who've ever smoked >/= 100 cigarettes
C: M 65-75 non-smoker
D: Women

Front 2

Alcohol misuse?

Back 2

B: Men, women, and pregnant women
- screening and behavioral counseling

Front 3

Aspirin?

Back 3

A: Men 45-79 to prevent MI
A: Women 55-79 to prevent ischemic stroke

Front 4

Asymptomatic bacteriuria?

Back 4

A: Pregnant women 12-16 wks gestation

Front 5

BP Screening?

Back 5

A: Adults >/= 18yo q2yrs with BP < 120/80 or q yr with BP 120-139/80-90

Front 6

BRCA testing?

Back 6

B: Women with FH associated with increased risk of BRCA
- Ashkenazi Jews: 1st degree relative with breast or ovarian ca
- Non-Ashkenazi: two 1st degree relatives with breast ca, one less than 50yo, 3 1st or 2nd degree relatives, presence of both breast and ovarian ca among 1st and 2nd degree relatives, 1st degree with bilateral breast, 2 or more with ovarian ca, breast ca in male

Front 7

Preventative breast cancer meds?

Back 7

B: Chemoprevention of women at high risk

Front 8

Breast cancer screening?

Back 8

B: Biennial mammo in women 50-74
C: screening women 40-49

Front 9

Those with A recommendation?

Back 9

Aspirin, Asymptomatic bacteriuria, Cervical cancer screening, Chlamydia screening, CRC Screening, Congenital Hypothyroidism, Folic Acid Supplementation, Hep B Virus, High BP, HIV, Lipid Disorders, Ocular ppx, PKU screen, Rh(D) Type, Sickle Cell Screen, Syphilis Screen, Tobacco Counseling/Intervention

Front 10

Breast Feeding?

Back 10

B: Primary care intervention to promote breast feeding

Front 11

Cervical cancer screening?

Back 11

A: women 21-65 with pap q3yr or women 30-65 with pap + HSV q5yr

Front 12

Chlamydia screening?

Back 12

A: women 24 and younger if sexually active or 25+ with increased risk

Front 13

CRC Screening?

Back 13

Adults 50-75 with FOBT, sigmoidoscopy, or colonoscopy

Front 14

Congenital hypothyroidism?

Back 14

A: in newborns with TSH or T4, 2-4 days old

Front 15

Dental caries?

Back 15

B: oral fluoride supplement for preschool kids >/= 6mo with deficient fluoride

Front 16

Depression?

Back 16

B: Adults >/= 18 when accurate dx, tx, and f/u in place

Front 17

Fall prevention?

Back 17

B: exercise or PT in adults >/= 65 at increased risk

Front 18

Folic acid?

Back 18

A: women planning or capable of pregnancy, take 0.4-0.8 mg/day

Front 19

Gonorrhea screening?

Back 19

B: pregnant (1st trimester if increased risk or 3rd trimester) and increased risk (< 25yo, young, sexually active)

Front 20

Hearing loss screening?

Back 20

B: screening in all newborns < 1mo
- infants at risk: periodic monitoring until 3 yo

Front 21

Hep B screening in pregnancy?

Back 21

A: screen at first prenatal visit with HBsAg

Front 22

HIV Screening?

Back 22

A: At risk and all pregnant women
- Risks: MSM, IVDU, sex worker, h/o STD, partner with HIV, transfusion 1978-85, unprotected sex with multiple partners

Front 23

Intimate partner violence?

Back 23

B: women of childbearing age

Front 24

Iron deficiency anemia screen?

Back 24

B: screen asymptomatic kids 6-12mo at increased risk (recent immigrant, preemie, low BW) and asymptomatic pregnant women

Front 25

Lipid disorders?

Back 25

A: men 35+ q5yr and women 45+ if increased risk for CHD

Front 26

Obesity screening?

Back 26

B: Adults >/= 18yo with BMI, BMI > 30 --> refer to interventions
B: Kids age 6-17 --> refer for counseling

Front 27

Ocular prophylaxis for gonorrhea?

Back 27

A: tetracycline or erythromycin ointment within 24 hours

Front 28

Osteoporosis screening?

Back 28

B: 65 and older or younger with fracture risk equivalent to age 65

Front 29

Vision impairment in children?

Back 29

B: once between 3-5yo to detect presence of amblyopia or risk factors

Front 30

T2DM screening?

Back 30

B: asymptomatic adults with sustained BP > 135/80

Front 31

Tobacco counseling and intervention?

Back 31

A: all adults

Front 32

Skin cancer counseling?

Back 32

A: counsel fair skinned kids up to age 24 about minimizing UV radiation exposure

Front 33

Sickle cell screening?

Back 33

A: newborn screening for everyone

Front 34

STI counseling?

Back 34

B: counsel sexually active adolescents and adults at increased risk

Front 35

RhD Incompatibility?

Back 35

A: Rh(D) blood type and Ab testing at first prenatal visit --> give Rh(D) Ig 300mcg at 24-28 weeks and <72 hrs postpartum

Front 36

PKU Screening?

Back 36

A: infants 1-7 days old

Front 37

Syphilis screening?

Back 37

A: screen pregnant women with VDRL or RPR --> confirmatory: TPPA
A: men and women at increased risk
- Risk: MSM, sex worker, sex for drugs, adult correction facility