USPSTF UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS COMPLETE
STUDY GUIDE
●● Test used to screen for AAA
Answer: Abdominal duplex ultrasonography
●● Treatment for AAA
Answer: >5.5 cm --> surgery
3.0-5.4 cm --> repeated surveillance Q3-12 months
Growth >1.0 cm/yr --> surgery
●● Screening for Alcohol Misuse
Answer: Persons older than 18 years
●● Screening Tests for Alcohol Misuse
Answer: AUDIT, AUDIT-C, or number of times person drank >5 (4 if
woman or older than 65) drinks in the past year
●● Treatment for Alcohol Misuse
Answer: Behavioral Counseling interventions
,●● Recommendation for Aspirin Usage
Answer: Men 45-79 years old (MI protection)
Women 55-79 (Stroke protection)
*Benefit of MI reduction must outweigh the risk of GI hemorrhage
●● Risk Factors For GI Hemorrhage
Answer: Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
Anticoagulation
●● Screening for Asymptomatic Bacteriuria
Answer: Women at 12-16 weeks of pregnancy or first prenatal visit if
farther along
●● Screening Test for Asymptomatic Bacteriuria
Answer: Urine culture
Dipstick and microscopy have poor PPV and NPV
,●● Treatment for Asymptomatic Bacteriuria
Answer: Nitrofurantoin
●● Prophylactic Aspirin for the Prevention of Colon Cancer
Answer: The USPSTF DOES NOT recommend this due to risk of GI
hemorrhage
●● Bacterial Vaginosis Screening in Pregnant Women
Answer: The USPSTF DOES NOT recommend this due to lack of
evidence that it reduces mortality or morbidity
●● Amsel Criteria
Answer: Need 3/4:
1. Fishy odor with addition of KOH
2. Vaginal pH >4.7
3. Clue cells on wet mount
4. Thin, homogenous discharge
●● Treatment of BV
Answer: Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
, ●● Screening for Bladder Cancer
Answer: The USPSTF DOES NOT recommend this due to lack of
accurate screening methods
●● Screening for HTN
Answer: Adults > 18 years
●● Diagnosis of HTN
Answer: >140 systolic or >90 diastolic
Must have 2 different BP readings that are elevated over a period of 1-
several weeks
●● Categories of BP
Answer: Normal = <120/<80
PreHTN = 120-129/80-89
Stage 1 HTN = 140-159/90-99
Stage 2 HTN = 160+/100+
●● Major CV Risk Factors
Answer: HTN
Obesity
Dyslipidemia
DM
AND CORRECT ANSWERS COMPLETE
STUDY GUIDE
●● Test used to screen for AAA
Answer: Abdominal duplex ultrasonography
●● Treatment for AAA
Answer: >5.5 cm --> surgery
3.0-5.4 cm --> repeated surveillance Q3-12 months
Growth >1.0 cm/yr --> surgery
●● Screening for Alcohol Misuse
Answer: Persons older than 18 years
●● Screening Tests for Alcohol Misuse
Answer: AUDIT, AUDIT-C, or number of times person drank >5 (4 if
woman or older than 65) drinks in the past year
●● Treatment for Alcohol Misuse
Answer: Behavioral Counseling interventions
,●● Recommendation for Aspirin Usage
Answer: Men 45-79 years old (MI protection)
Women 55-79 (Stroke protection)
*Benefit of MI reduction must outweigh the risk of GI hemorrhage
●● Risk Factors For GI Hemorrhage
Answer: Men
Other NSAID usage
Hx of GI ulcer
Uncontrolled HTN
Anticoagulation
●● Screening for Asymptomatic Bacteriuria
Answer: Women at 12-16 weeks of pregnancy or first prenatal visit if
farther along
●● Screening Test for Asymptomatic Bacteriuria
Answer: Urine culture
Dipstick and microscopy have poor PPV and NPV
,●● Treatment for Asymptomatic Bacteriuria
Answer: Nitrofurantoin
●● Prophylactic Aspirin for the Prevention of Colon Cancer
Answer: The USPSTF DOES NOT recommend this due to risk of GI
hemorrhage
●● Bacterial Vaginosis Screening in Pregnant Women
Answer: The USPSTF DOES NOT recommend this due to lack of
evidence that it reduces mortality or morbidity
●● Amsel Criteria
Answer: Need 3/4:
1. Fishy odor with addition of KOH
2. Vaginal pH >4.7
3. Clue cells on wet mount
4. Thin, homogenous discharge
●● Treatment of BV
Answer: Oral Metronidazole or oral Clindamycin
or
Vaginal Metronidazole or Vaginal Clindamycin creams
, ●● Screening for Bladder Cancer
Answer: The USPSTF DOES NOT recommend this due to lack of
accurate screening methods
●● Screening for HTN
Answer: Adults > 18 years
●● Diagnosis of HTN
Answer: >140 systolic or >90 diastolic
Must have 2 different BP readings that are elevated over a period of 1-
several weeks
●● Categories of BP
Answer: Normal = <120/<80
PreHTN = 120-129/80-89
Stage 1 HTN = 140-159/90-99
Stage 2 HTN = 160+/100+
●● Major CV Risk Factors
Answer: HTN
Obesity
Dyslipidemia
DM
