USPSTF COMPREHENSIVE STUDY GUIDE
TESTED QUESTIONS AND VERIFIED
ANSWERS
●● Alcohol misuse: screening and counseling
Answer: Screen adults age 18 years or older for alcohol misuse and
provide persons engaged in risky or hazardous drinking with brief
behavioral counseling interventions to reduce alcohol misuse.
●● Aspirin preventive medication: adults aged 50 to 59 years with a
≥10% 10-year cardiovascular risk
Answer: Initiating low-dose aspirin use for the primary prevention of
cardiovascular disease and colorectal cancer in adults aged 50 to 59
years who have a 10% or greater 10-year cardiovascular risk, are not at
increased risk for bleeding, have a life expectancy of at least 10 years,
and are willing to take low-dose aspirin daily for at least 10 years.
●● Bacteriuria screening: pregnant women
Answer: Screening for asymptomatic bacteriuria with urine culture in
pregnant women at 12 to 16 weeks' gestation or at the first prenatal visit,
if later.
●● Blood pressure screening: adults
, Answer: screening for high blood pressure in adults aged 18 years or
older. The USPSTF recommends obtaining measurements outside of the
clinical setting for diagnostic confirmation before starting treatment.
●● BRCA risk assessment and genetic counseling/testing
Answer: Screen women who have family members with breast, ovarian,
tubal, or peritoneal cancer with one of several screening tools designed
to identify a family history that may be associated with an increased risk
for potentially harmful mutations in breast cancer susceptibility genes
(BRCA1 or BRCA2). Women with positive screening results should
receive genetic counseling and, if indicated after counseling, BRCA
testing.
●● Breast cancer preventive medications
Answer: The USPSTF recommends that clinicians engage in shared,
informed decisionmaking with women who are at increased risk for
breast cancer about medications to reduce their risk. For women who are
at increased risk for breast cancer and at low risk for adverse medication
effects, clinicians should offer to prescribe risk-reducing medications,
such as tamoxifen or raloxifene.
●● Breast cancer screening
Answer: The USPSTF recommends screening mammography for
women, with or without clinical breast examination, every 1 to 2 years
for women age 40 years and older.
TESTED QUESTIONS AND VERIFIED
ANSWERS
●● Alcohol misuse: screening and counseling
Answer: Screen adults age 18 years or older for alcohol misuse and
provide persons engaged in risky or hazardous drinking with brief
behavioral counseling interventions to reduce alcohol misuse.
●● Aspirin preventive medication: adults aged 50 to 59 years with a
≥10% 10-year cardiovascular risk
Answer: Initiating low-dose aspirin use for the primary prevention of
cardiovascular disease and colorectal cancer in adults aged 50 to 59
years who have a 10% or greater 10-year cardiovascular risk, are not at
increased risk for bleeding, have a life expectancy of at least 10 years,
and are willing to take low-dose aspirin daily for at least 10 years.
●● Bacteriuria screening: pregnant women
Answer: Screening for asymptomatic bacteriuria with urine culture in
pregnant women at 12 to 16 weeks' gestation or at the first prenatal visit,
if later.
●● Blood pressure screening: adults
, Answer: screening for high blood pressure in adults aged 18 years or
older. The USPSTF recommends obtaining measurements outside of the
clinical setting for diagnostic confirmation before starting treatment.
●● BRCA risk assessment and genetic counseling/testing
Answer: Screen women who have family members with breast, ovarian,
tubal, or peritoneal cancer with one of several screening tools designed
to identify a family history that may be associated with an increased risk
for potentially harmful mutations in breast cancer susceptibility genes
(BRCA1 or BRCA2). Women with positive screening results should
receive genetic counseling and, if indicated after counseling, BRCA
testing.
●● Breast cancer preventive medications
Answer: The USPSTF recommends that clinicians engage in shared,
informed decisionmaking with women who are at increased risk for
breast cancer about medications to reduce their risk. For women who are
at increased risk for breast cancer and at low risk for adverse medication
effects, clinicians should offer to prescribe risk-reducing medications,
such as tamoxifen or raloxifene.
●● Breast cancer screening
Answer: The USPSTF recommends screening mammography for
women, with or without clinical breast examination, every 1 to 2 years
for women age 40 years and older.
