What is the USPSTF guideline on pregnancy HIV screening?
Clinicians to screen all pregnant women for HIV, including those who present in labor who are untested and whose HIV status is unknown (Grade A)
Ages for HIV screening, per USPSTF recommendation:
Adolescents and adults ages 15-65 years
Who should get tested annually for HIV?
Injection drug users
Have sex partners who are injection drug users or are HIV-infected
Engage in sex for drugs or money
Have been diagnosed with another STD in the last year
More than one sex partner since the most HIV test
How is HIV diagnosed (method)?
ELISA enzyme-linked immunosorbent assay
Positive result must be confirmed with a western blot
HPV vaccine age indication:
9-45 years
Ages 13-18 gyn visit:
Pelvic exam not usually indicated
Primarily seen for menstrual problems, migraines, PMDD and vaginal discharge
T/F: ages 13-18, chlamydia/gonorrhea and HIV test screenings are done if sexually active
True
What is the USPSTF recommendation for STI screening for sexually active women?
Screen for chlamydia and gonorrhea, for ages 24 and younger and in older women who are at increased risk for infection
Most common STD in the US is _____ and most reported STI in the US is ______, and second most report is ____
Human papillomavirus
Chlamydia
Gonorrhea
Tdap is given to ages _____ followed by Td every _____ years
11-18 years of age
10
What age does yearly pelvic exam start?
Age 21 r older done yearly
What does USPSTF think about screening for gynecologic conditions with pelvic exams?
Grade I- as in there is insufficient evidence to assess the balance of benefits vs harms of performing screening pelvic exams in asymptomatic non pregnant women
Though this does not apply to cervical cancer, gonorrhea and chlamydia
What is USPSTF recommendations for cervical cancer?
A Grade- as in they recommend screening in women 21 to 65 years with cytology, aka PAP, every three years or for women 30-65 who want to lengthen the screening interval, screen for HPV and do PAP every 5 years
USPSTF recommendation for chlamydia and gonorrhea?
Grade B
Recommends screening sexually active women 24 years and younger and in older women who are at increased risk for infection
(wtf then why did I get screened this year. Stupid NP)
T/F: women younger than 21 do not need to be screened for cervical cancer even if they are sexually active, because they are able to clear the infection
True
T/F: women older than 65 have had adequate prior screening and are not at high risk so no longer needs to be screened
True
T/F: Women post hysterectomy do not need to be screened for cervical cancer
True
A 45 year old woman comes in and the doctor says they will do a “cotesting,” what does that mean?
Doing a Pap (cytology) and hrHPV ( high risk human papillomavirus) testing, this is typically done every 5 years for women 30-65 should they chose to not do a pap every 3 years
2-dose HPV vaccination are recommended by the CDC for girls and boys at ages _______ to protect against ______
11 or 12
HPV caused cancers
Colorectal cancer screening begins at age ____ for low risk individuals, then re-screened every ___ _Years
50
10
What is the recommended age to start colorectal cancer screening for African americans?
45 years
Vs the 50 for low risk individuals
FOBT requires how many samples collected by the patient?
2-3 samples collected by patient because one digital rectal exam is not adequate
Ways for colorectal cancer screening?
FOBT, flex sigmoidoscopy every 5 years, double contrast barium enema every 5 years or CT colonography every 5 years
Or stool DNA
How often do you test for diabetes and after what age?
After 45 years, every 3 years
How often do you do lipid profile and after what age?
Every 5 years beginning at age 45
How often do you do mammogram on patients start at what age?
start at 50 years, per USPSTF, every 2 years
But start at 40 years old, per ACOG
Reduce the risk of stroke in ages 55-79, use ____
Aspirin prophylaxis
Shingrix contains ____ dose(s), start giving at age _____, and this vaccine contains ____ (live/inactive) strain. Vs Zostavax contains _____ dose(s), start giving at age ______, and this vaccine contains _____ strain.
2, 50, inactive
1, 60, live
T/F: Intranasal influenza is live, attenuated influenza vaccine that may be giving to healthy, non pregnant people 2-49 years, and may be safely given at the same time as other vaccines
True
Lung cancer screening, per USPSTF, recommends adults aged ______ with a _____ pack-year history and current smoker/ recent quit within 15 years, to be screened
55-80
30
T/F: USPSTF screening recommends for screening for asymptomatic bacteriuria in men and nonpregnant women
False; they recommend against doing this (Grade D)
They recommend screening for asymptomatic bacteriuria with urine culture FOR PREGNANT women at 12-16 weeks
What does USPSTF say about screening for cardiovascular disease in low risk individuals?
Grade D
Recommends against screening with resting or exercise ECG to prevent CVD events in asymptomatic adults
DEXA scan screening is recommended age ____, ever ____ Years
65
No more frequently than ever 2 years
Colorectal cancer screening stop at age _____
75
Which screening tests should be discacontinued when you are over 65 years?
