Unit 2: USPSTF Screening Guidelines for Overweight Adults

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What screening guidelines does the USPSTF recommend for adults aged 50-59 years to prevent cardiovascular disease and colorectal cancer?

Weekly mammograms

Yearly chest X-rays

Daily CT scans

Daily intake of aspirin (correct)

Which condition do the USPSTF recommendations focus on for gestational diabetes screening in pregnant women?

High blood glucose levels

Gestational diabetes (correct)

Hypertension

Low blood sugar

What is the USPSTF recommendation regarding intimate partner violence screening?

Not to screen for it at all

To screen only men for it

To screen all women of childbearing age (correct)

To screen all adults above 60 years

Which age group does the USPSTF recommend lung cancer screening for?

Individuals aged 55-80 years with 30 pack-years smoking history Signup and view all the answers

For unsensitized Rh(D)-negative pregnant women, when does the USPSTF recommend repeated Rh(D) antibody testing?

At 24 to 28 weeks' gestation Signup and view all the answers

In which population and at what time does the USPSTF strongly recommend Rh(D) blood typing and antibody testing?

Pregnant women during their first visit for pregnancy-related care Signup and view all the answers

What is the USPSTF recommendation regarding statin prescription for primary prevention of CVD in adults aged 40 to 75 with a cardiovascular risk of 7.5% to less than 10%?

Selectively offer a statin Signup and view all the answers

In adults aged 76 years or older, what does the USPSTF conclude about initiating a statin for primary prevention of CVD?

Conclude the evidence is insufficient for assessment Signup and view all the answers

What is the USPSTF recommendation regarding statin prescription for primary prevention of CVD in adults aged 40 to 75 with a cardiovascular risk of 10% or greater?

Strongly recommend statin use Signup and view all the answers

When should early screening for syphilis infection be done in pregnant women according to the USPSTF recommendation?

During the first pregnancy-related care visit Signup and view all the answers

According to the USPSTF recommendations, who should clinicians offer screening for colorectal cancer in the age range of 76 to 85 years?

Adults aged 76 to 85 years after assessing overall health, prior screening history, and preferences Signup and view all the answers

What is the USPSTF recommendation for screening hypertension in adults without known hypertension?

Screening using diagnostic confirmation before starting treatment Signup and view all the answers

For which population group does the USPSTF recommend screening for hepatitis C virus (HCV) infection?

Adults aged 18 to 79 years Signup and view all the answers

In which age range does the USPSTF recommend screening for unhealthy drug use by asking questions?

Adults age 18 years or older Signup and view all the answers

For men aged 65 to 75 years who have never smoked, what does the USPSTF recommend regarding screening for abdominal aortic aneurysm (AAA)?

Selectively offer screening rather than routine screening Signup and view all the answers

What is the USPSTF's recommendation regarding preexposure prophylaxis using effective antiretroviral therapy for individuals at increased risk of acquiring HIV?

Recommend selectively offering preexposure prophylaxis Signup and view all the answers

What is the USPSTF recommendation regarding screening for unhealthy drug use in adolescents?

Do not screen adolescents for unhealthy drug use Signup and view all the answers

According to the USPSTF recommendations, what is the stance on screening for AAA with ultrasonography in women aged 65 to 75 years who have ever smoked?

Current evidence is insufficient to assess the benefits and harms of screening Signup and view all the answers

For women at increased risk for breast cancer aged 35 or older, what does the USPSTF recommend regarding risk-reducing medications?

Clinicians should offer risk-reducing medications like tamoxifen, raloxifene, or aromatase inhibitors Signup and view all the answers

What is the USPSTF recommendation on screening for cervical cancer every 3 years with cervical cytology alone in women aged 21 to 29 years?

Screening every 3 years with cervical cytology alone is recommended Signup and view all the answers

What is the USPSTF recommendation on screening for cervical cancer in women younger than 21 years?

No screening is recommended Signup and view all the answers

For men, how does the USPSTF view the evidence on screening for osteoporosis?

The evidence is insufficient to assess benefits and harms of screening Signup and view all the answers

Whom does the USPSTF recommend screening for prediabetes and type 2 diabetes among adults aged 35 to 70 years?

Only overweight or obese adults aged 35 to 70 years Signup and view all the answers

What does the USPSTF recommend regarding screening for osteoporosis in postmenopausal women younger than 65 years who are at increased risk?

Screening using bone measurement testing is recommended Signup and view all the answers

Who should not initiate low-dose aspirin use for the primary prevention of CVD?

Adults 60 years or older Signup and view all the answers

Which group is recommended to take a daily supplement containing folic acid?

Women of reproductive age Signup and view all the answers

Who should be screened for gestational diabetes according to the USPSTF recommendations?

Asymptomatic pregnant persons at 24 weeks of gestation or after Signup and view all the answers

Which population should clinicians screen for intimate partner violence (IPV) according to the USPSTF?

Women of reproductive age Signup and view all the answers

Who is recommended to undergo annual screening for lung cancer with low-dose computed tomography (LDCT) according to the USPSTF?

Adults aged 50 to 80 years with a smoking history Signup and view all the answers

Who should avoid screening for abuse and neglect according to the USPSTF recommendations?

Older or vulnerable adults Signup and view all the answers

Which group is recommended to have preventive medication with low-dose aspirin after 12 weeks of gestation?

Pregnant persons at high risk for preeclampsia Signup and view all the answers

What is the recommended interval for screening adults with an initial normal glucose test result?

Every 3 years Signup and view all the answers

For pregnant persons at high risk for preeclampsia, what is the recommended dose of aspirin?

81 mg/day Signup and view all the answers

What BMI range defines overweight and obesity?

BMI ≥25 and ≥30, respectively Signup and view all the answers

For which population does the USPSTF recommend screening for asymptomatic bacteriuria?

Pregnant persons Signup and view all the answers

In which group is the decision to initiate low-dose aspirin use for the primary prevention of CVD an individual one?

Adults aged 40 to 59 years with a 10% or greater 10-year CVD risk Signup and view all the answers

What is the age range for pregnant persons to receive counseling interventions aimed at promoting healthy weight gain?

Adolescents and adults Signup and view all the answers

When should clinicians offer effective behavioral counseling interventions for pregnant persons?

>12 weeks of gestation Signup and view all the answers

In which population does the USPSTF recommend against screening for asymptomatic bacteriuria?

Nonpregnant adults Signup and view all the answers

'How to implement this recommendation?' refers to defining high risk for what condition?

'How to implement this recommendation?' for preeclampsia prevention Signup and view all the answers

A 58-year-old male patient decided against prostate cancer screening using PSA due to the provider's discussion on the small benefits and large risks associated. This scenario is an example of a ______________ recommendation according to the USPSTF.

Grade C Signup and view all the answers

During a yearly wellness visit, why was the 45-year-old asymptomatic female with no family history of hereditary cancer syndrome not screened for ovarian cancer?

Low risk of ovarian cancer Signup and view all the answers

What BMI value led the provider to initiate weight loss discussions with a 35-year-old male patient during his yearly physical?

35 kg/m2 Signup and view all the answers

In what scenario would a 55-year-old male patient be recommended for colon cancer screening according to the USPSTF?

Asymptomatic presentation Signup and view all the answers

What is the main factor that clinical decisions should be based on according to the text?

Patient preferences Signup and view all the answers

In the context of Grade B recommendations, what is the certainty level about the net benefit?

High Signup and view all the answers

Why is ovarian cancer screening not recommended in asymptomatic women with no history of hereditary cancer syndrome?

Low certainty of net benefit Signup and view all the answers

What is the significance of Grade D recommendations according to the text?

Harms outweigh benefits Signup and view all the answers

What characterizes Grade A recommendations mentioned in the text?

Net benefit outweighs risks Signup and view all the answers

Why is colon cancer screening recommended for adults aged 50–75 years according to the text?

High net benefits Signup and view all the answers