Unit 2: USPSTF Screening Guidelines for Overweight Adults
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Questions and Answers

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?

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

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

    <p>At 24 to 28 weeks' gestation</p> 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?

    <p>Pregnant women during their first visit for pregnancy-related care</p> 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%?

    <p>Selectively offer a statin</p> 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?

    <p>Conclude the evidence is insufficient for assessment</p> 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?

    <p>Strongly recommend statin use</p> Signup and view all the answers

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

    <p>During the first pregnancy-related care visit</p> 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?

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

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

    <p>Screening using diagnostic confirmation before starting treatment</p> Signup and view all the answers

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

    <p>Adults aged 18 to 79 years</p> Signup and view all the answers

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

    <p>Adults age 18 years or older</p> 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)?

    <p>Selectively offer screening rather than routine screening</p> 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?

    <p>Recommend selectively offering preexposure prophylaxis</p> Signup and view all the answers

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

    <p>Do not screen adolescents for unhealthy drug use</p> 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?

    <p>Current evidence is insufficient to assess the benefits and harms of screening</p> 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?

    <p>Clinicians should offer risk-reducing medications like tamoxifen, raloxifene, or aromatase inhibitors</p> 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?

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

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

    <p>No screening is recommended</p> Signup and view all the answers

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

    <p>The evidence is insufficient to assess benefits and harms of screening</p> 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?

    <p>Only overweight or obese adults aged 35 to 70 years</p> 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?

    <p>Screening using bone measurement testing is recommended</p> Signup and view all the answers

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

    <p>Adults 60 years or older</p> Signup and view all the answers

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

    <p>Women of reproductive age</p> Signup and view all the answers

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

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

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

    <p>Women of reproductive age</p> 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?

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

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

    <p>Older or vulnerable adults</p> Signup and view all the answers

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

    <p>Pregnant persons at high risk for preeclampsia</p> Signup and view all the answers

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

    <p>Every 3 years</p> Signup and view all the answers

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

    <p>81 mg/day</p> Signup and view all the answers

    What BMI range defines overweight and obesity?

    <p>BMI ≥25 and ≥30, respectively</p> Signup and view all the answers

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

    <p>Pregnant persons</p> 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?

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

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

    <p>Adolescents and adults</p> Signup and view all the answers

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

    <p>&gt;12 weeks of gestation</p> Signup and view all the answers

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

    <p>Nonpregnant adults</p> Signup and view all the answers

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

    <p>'How to implement this recommendation?' for preeclampsia prevention</p> 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.

    <p>Grade C</p> 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?

    <p>Low risk of ovarian cancer</p> 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?

    <p>35 kg/m2</p> 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?

    <p>Asymptomatic presentation</p> Signup and view all the answers

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

    <p>Patient preferences</p> Signup and view all the answers

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

    <p>High</p> Signup and view all the answers

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

    <p>Low certainty of net benefit</p> Signup and view all the answers

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

    <p>Harms outweigh benefits</p> Signup and view all the answers

    What characterizes Grade A recommendations mentioned in the text?

    <p>Net benefit outweighs risks</p> Signup and view all the answers

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

    <p><strong>High net benefits</strong></p> Signup and view all the answers

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