Repetitio est mater studiorum

USPSTF Screenings Recommendations

Type Test Age Frequency Special Cases

Breast Cancer Mammogram 40-49 If RF present (FH) RF:

Modifiable: HRT, Nulliparity, Inc age at first live
50-74 2 years birth, Alcohol
Non-Modifiable: Genetic mutation or BC in 1st
degree relative, White, Inc age, Early Menarche or
Later Menopause excessive Estrogen exposure w/o
Progesterone

Lung Cancer Low-dose chest CT 50-80 Yearly Termination of Screening:

*Current smoker with 20yr pack Quit for >15yr
history or quit within 15 yr Health problems that limit life expectancy

Colorectal Cancer FOBT or FIT 45-75 Yearly Genetic testing for Lynch syndrome. Most common
Stool FIT DNA 1-3 years extracolonic malignancy associated with Lynch
CT Colonography 5 years syndrome is endometrial cancer —> Hysterectomy
Sigmoidsocopy 5 years with bilateral salpingo-oophorectomy at the end of
Sigmoidoscopy + Annual FIT 10 years childbearing age (∼ 40 years) is recommended for
Colonoscopy 10 years women with Lynch syndrome.

FAP Colonoscopy 10-12 Yearly

Lynch Syndrome (HNPCC) Colonoscopy 20-25 1-2 years
IBD Colonoscopy 8yr post Dx 1-2 years
FH (1o relative <60) Colonoscopy 40 or 10yo prior to dx 3-5 years

Cervical Cancer Pap smear 21-29 3 years HIV: Onset of sexual intercourse, Time of
diagnosis, Annually until ≥ 3 normal, then routine
Pap smear + HPV test 30-65 Cytology alone 3 yr or
Cytology + HPV 5 years Immunosuppressed: Onset of sexual intercourse,
Annual Pap with HPV

Bladder Cancer Not recommended High rates of false-positives

Prostate Cancer Controversial

Abdominal Aortic Abdominal Ultrasound 65-75 Once Not recommended in women

Aneurysm US less expensive than CT/MRI
*Men who have ever
smoked

Diabetes Mellitus Fasting Glucose or HbA1c or 35-70 3 years Recommend for Overweight (BMI ≥25) or Obese
Oral Glucose tolerance test (≥30)

Hyperlipidemia Lipid Panel Men: 35 5 years

Women: 45

Diabetes, HTN, CAD,

Carotid dx, Peripheral >20yo 5 years
vascular dz, Aortic disease

Hypertension BP Measurement >18 2 years

Osteoporosis DEXA: dual-energy X-ray <65 + Postmenopausal A T-score 1 to 2.5 standard deviations below
absorptiometry ≥65 normal is osteopenia.
A T-score > 2.5 standard deviations below normal
is osteoporosis.

Intimate Partner Violence All women of childbearing Cannot report without patient’s consent
age and appropriate patients