AAFP Clinical Preventive Services – Flashcards
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One-time screening for Abdominal Aortic Aneurysm by ultrasonography is recommended in what group?
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Men ages 65 to 75 years who have ever smoked (100 cigarettes)
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Screening for intimate partner violence (IPV), such as domestic violence is recommended for what group?
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All women of childbearing age (regardless of signs or symptoms of abuse)
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Screening for alcohol misuse is recommended for what group?
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All adults aged 18 years or older
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Screening for asymptomatic bacteriuria with urine culture is recommended for what group?
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Pregnant women at 12 to 16 weeks' gestation or at the first prenatal visit, if later.
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Referral to intensive behavioral counseling interventions to promote a healthful diet and physical activity for CVD is recommended for what group?
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Overweight or obese adults who have additional cardiovascular disease (CVD) risk factors
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High-intensity behavioral counseling to prevent sexually transmitted infections (STIs) is recommended for what group?
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All sexually active adolescents and for adults at increased risk for STIs
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Screening mammography for breast cancer is recommended for what group and how often?
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Women between ages 50 and 74; every two years.
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Who should get risk-reducing medications such as tamoxifen or raloxifene to prevent breast cancer?
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Women who are at increased risk for breast cancer and at low risk for adverse medication effects (only)
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Who gets BRCA testing?
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Women who have family members with breast, ovarian, tubal, or peritoneal cancer AND who screen positive for a increased risk of potentially harmful mutations
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What is AAFP's stance on breastfeeding?
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The AAFP recommends interventions during pregnancy and after birth to promote and support breastfeeding
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Who gets aspirin for CVD prevention when the potential benefits outweigh the potential harms due to an increase in gastrointestinal hemorrhage?
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Men aged 47-79 (for MI) Women aged 55-79 (for stroke)
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Who gets genomics profiling to assess risk for cardiovascular disease?
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Nobody
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Screening for Cervical Cancer is recommended for what group and how often?
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--Women 21-65 years; every 3 years by Pap smear --Women 30-65, can have Pap smear every 5 years + HPV testing
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Should women who have had a hysterectomy with removal of the cervix be screened for cervical cancer?
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No
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Screening for chlamydia and gonorrhea is recommended for what group?
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1. Sexually active women age <= 24 2. Older women at increased risk
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Screening for Colorectal Cancer is recommended for what group?
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Adults, 50-75
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Which asymptomatic adults should be screened for chronic obstructive pulmonary disease (COPD) using spirometry?
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Nobody
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Should aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) be used to prevent colorectal cancer in individuals at average risk for colorectal cancer?
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No
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Are CT colongraphy and fecal DNA testing effective in screening for colorectal cancer?
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Unknown
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Screening for Congenital Hypothyroidism is recommended for what group?
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All Neonates
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Are resting or exercise ECGs effective for the prediction of coronary heart disease in asymptomatic adults at low or intermediate risk?
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--No for low risk --Unknown for intermediate risk
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Is widespread screening for dementia effective?
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Unknown
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Who gets oral fluoride supplementation?
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Children whose water supply is deficient in fluoride, beginning at age 6 months
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Who gets fluoride varnish to the primary teeth for the prevention of dental caries?
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All infants and children starting at the age of primary tooth eruption
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Screening for depression is recommended for what group?
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Everyone beginning at age 12
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Screening for gestational diabetes mellitus (GDM) is recommended for what group?
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All pregnant women after 24 weeks of gestation
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Screening for type 2 diabetes is recommended for what group?
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All adults with blood pressure greater than 135/8o
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Exercise or physical therapy and vitamin D supplementation are recommended for what group?
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Community dwelling adults aged 65 years or older who are at increased risk for falls
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Is routine serological screening for herpes simplex virus (HSV) in asymptomatic pregnant women recommended to prevent neonatal HSV infection
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No
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When is routine serological screening for herpes simplex virus (HSV) recommended?
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Never
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Who should receive prophylactic ocular topical medication against gonococcal ophthalmia neonatorum?
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All newborns
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Screening for Sensorineural Hearing Loss is recommended for what group?
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All newborns
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Is screening for hereditary hemochromatosis in the asymptomatic general population recommended?
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No
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Screening for PKU, hemoglobinopathies, and thyroid function abnormalities is recommended for what group?
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All newborns
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Screening for Hepatitis B Virus Infection is recommended for what group?
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1. Pregnant women at their first prenatal visit 2. All persons at high risk for infection
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Screening for Hepatitis C Virus Infection is recommended for what group?
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1. All adults born between 1945 and 1965 (one time) 2. All persons at high risk for infection
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Screening for HIV Infection is recommended for what group?
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Everyone. Starting age is controversial. (CDC says 13, USPSTF says 15, AAFP says 18)
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Screening for HIV infection is recommended for what group of pregnant women?
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All pregnant women
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Screening for Hypertension is recommended for what group?
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Everyone over 18
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Screening for iron deficiency anemia is recommended for what asymptomatic group?
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Pregnant women
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Screening for lipid disorders is recommended for what group?
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All men >=35 (>=20 if at increased risk) All women >=45 (>=20 if at increased risk)
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Annual screening for is lung cancer with low dose CT is recommended for what group?
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Adults aged 55 to 80 years who have a 30 pack-year smoking history and currently smoke or have quit within the past 15 years
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Who should get folic acid supplementation?
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All women planning or capable of pregnancy
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Screening for obesity is recommended for what group?
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Everyone aged 6 years or older
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Screening for osteoporosis is recommended for what group?
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All women aged 65 years or older and in younger women with increased fracture risk
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Screening for ovarian cancer is recommended for what group?
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Nobody
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Screening for pancreatic cancer is recommended for what group?
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Nobody
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Screening for PKU is recommended for what group?
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All newborns
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Women who are at high risk for preeclampsia get what prophylactic therapy?
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low-dose aspirin (81 mg/day)
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Screening for prostate cancer with PSA is recommended for what group?
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Nobody
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Is screening asymptomatic adults for COPD with spirometry recommended?
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No
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Screening for Rh (D) Incompatibility is recommended for what group?
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All pregnant women during their first visit for pregnancy-related care
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Screening for Rh (D) Incompatibility should be repeated for what group? When?
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All unsensitized Rh (D)-negative women at 24-28 weeks gestation
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Is screening for idiopathic scoliosis recommended for asymptomatic individuals?
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No
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Screening for sickle cell disease is recommended for what group?
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All newborns
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Screening for syphilis is recommended for what group?
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1. Persons at increased risk for infection 2. Pregnant women
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The AAFP ______ screening for testicular cancer in asymptomatic adolescent or adult males
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recommends against
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The AAFP ______ the use of ultrasound screening for thyroid cancer in asymptomatic persons
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recommends against
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Screening for Thyroid Function abnormalities is recommended for what group?
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All newborns
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Screening for tobacco use is recommended for what group?
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Everybody school aged or older
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The AAFP recommends vision screening for amblyopia for all children at least once between the ages of ______
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3 and 5 years
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The AAFP ______ the use of multivitamins for the prevention of cardiovascular disease or cancer
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concludes that the current evidence is insufficient to recommend
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The AAFP ______ the use of beta-carotene or vitamin E supplements for the prevention of cardiovascular disease or cancer.
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recommends against
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The AAFP ______ vitamin D and calcium supplementation for the primary prevention of fractures in premenopausal women or in men.
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concludes that the current evidence is insufficient to recommend
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The AAFP ______ screening for Vitamin D Deficiency
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concludes that the current evidence is insufficient to recommend
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The AAFP ______ routine screening for AAA in women who have never smoked
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recommends against
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The AAFP ______ screening for asymptomatic bacteriuria in men and nonpregnant women
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recommends against
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The AAFP ______ screening for bacterial vaginosis in asymptomatic pregnant women at low risk for preterm delivery
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recommends against
