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Is This Disease/Disorder Screenable? Does its significance warrant its consideration as a community problem? Can the disease be detected by screening? Should screening for disease be done? (Consider health benefits and cost) USPSTF Screening Guidelines for Common Conditions Please review these common conditions carefully as they will be part of your certification testing. You can review the full pocket guide through the Agency for Healthcare Research and Quality website, another resource: The Guide to Clinical Preventive Services (Links to an external site.). Condition Breast cancer Screening Guidelines Age 40-49: individualized decision to begin biennial mammogram screening based on circumstances & values. Screening mammography every 1 to 2 years, with or without clinical breast exam (CBE) for women 50-74 yrs Cervical cancer Self-breast exam: Encouraged; weak data of efficacy Age 21-30: pap smear every 3 years (no pap < 21 yrs) Age 30-65: pap smear q 3 years or co-testing (pap w/ HPV testing) every 5 years. (No HPV testing < age 30). Routine screening not recommended if not high risk; 65 or older; recent normal Pap tests Colorectal cancer Not recommended if total hysterectomy for benign disease Insufficient evidence for/against new screening techniques Age 50- 75: one of following Annual fecal occult blood test (FOBT) Sigmoidoscopy every 5 years with FOBT every 3 yrs. Colonoscopy every 10 years More intensive screening if high risk No automatic screening 76-85, no screening > 85 Testicular cancer No current recommendation regarding screening Prostate cancer No current recommendation regarding screening Cholesterol Hypertension Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) Non-fasting or fasting serum lipid Men age 35+; women age 45+ who are at increased risk Men age 20-35/ women 20-45 if coronary heart disease risk factors Screening every 5 years up to age 65 General adult population Screen every 2 years with BP <120/80 Every year with BP 120-139 or DBP 80-90 Assess other cardiovascular risk factors Assess risk factors (e.g., IV drug use, unprotected sex); at risk with one or more risk factors Provide periodic screening for those at increased risk of HIV Pregnant women: Screen to reduce mother-to-child transmission CDC—recommends all between 13 to 64 years old be screened regardless of risk factors Diabetes Osteoporosis Depression Assess risk factors for Type 2 diabetes Screen adults with consistent BP >135/80 Mass screening not recommended Screen high-risk individuals every 3 years Screen w/ dual-energy x-ray absorptiometry (DEXA) Screen all women age > 65 Screen women < 65 w/ fracture risk = to 65 year-old No recommendation for screening men Nonpregnant adults age 18 & older Screen only if adequate support is in place to ensure accurate diagnosis, treatment and follow-up. Previous Numerous screening tools are published