USMLE STEP 2 CK - SCREENING

 

SCREENING:

    HIGH YIELD

Disease

Age

Test and Interval

Colon Cancer

Adults age 45-75 (average risk)

Colonoscopy every 10 years

FIT/FOBT every year

FIT-DNA every 1-3 year

Lung Cancer

Adults age 50-80, ≥ 20 pack year, current smoker or quit within last 15 years

Low dost Chest CT, every year

Abdominal aortic aneurysm

Men age 65-75, any smoking history

Abdominal USG, 1 time

Cervical Cancer

Women age 21-65 (or hysterectomy)

PAP test every 3 years (Age 21-29)

PAP+HPV every 5 years

Or HPV every 5 years

Breast Cancer

Women age50-74

Mammogram every 2 years

Osteoporosis

Women age ≥ 65

DEXA scan

Endometrial cancer (special case: Lynch Syndrome)

30-35 year

Annual

TAH-BSO at age 40are

HIV

Age 15-65

HIV Antibody, 1 time

HCV

Adults born in 1945-1965(UW)

Age 18-79 (USPSTF)

Anti HCV Antibody, 1 time

Lead Poisoning

Residents (Kids) of house built before 1978

Venous lead levels

Visual acuity

Children 3-5 years

 

Autism

18 Months – 2 years

 

STI (+ contraception education)

Age 24 and below

Age ≥ 25 with increased risk (women with new or multiple sex partners)

Urine NAAT

Dyslipidemia

9-11 years and 17-21 years

Adults ≥ 35 years with risk factors (smoking, DM, HTN)

 

Depression

Age ≥12 (UW)

General population and Post-partum females (USPSTF)

 

Fall risk

Age ≥ 65

MSK: Get up and go,

Vision

Hearing

Orthostasis

Bone density (strength)

DM

individuals 35–70 years of age with a BMI ≥ 25 kg/m2, with at least one additional risk factor (e.g., physical inactivity, hypertension, dyslipidemia, a first-degree relative with diabetes) and individuals ≥ 45 years of age who have no risk factors

 

Nephropathy, Neuropathy and Retinopathy, in pts with DM

 

Annually

DM in pts with HTN

Age 40-70 in pts with BMI ≥ 35kg/m2

 

•Metabolic/genetic disorders)

•Hyperbilirubinemia

•Hearing screen

•Pre- & post-ductal pulse oximetry (congenital heart disease)

•Hypoglycemia (select populations)

Newborn screening*

 

* Preventive: Intramuscular vitamin K, Erythromycin eye ointment, Hepatitis B vaccine

 

 

For any addition or correction: alimohtashim95@gmail.com

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