1.2 Screening

Question 1

Which cancers are normally screened for in everyone? (4)

Answer 1

1. colon
2. breast
3. lung
4. cervical

• not prostate
• ovarian CA only in BRCA 1/2 pts

Question 2

Colon CA screening

• age
• how to screen (3 ways)

Answer 2

-Age 50-75

• colonoscopy q10y, OR
• flex sig q5 + FOBT, OR
• FOBT q1y

Question 3

Breast CA screening

• age
• how to screen

Answer 3

• age 40 q1y (USPTF 50 q2y)

- mammogram q1y

Question 4

Cervical CA screening

• age
• how to screen

Answer 4

• age 21-65

- Pap smear q3y

Question 5

Lung CA screening

• who to screen
• how to screen

Answer 5

• Age 55-80, 30 PY smoking hx
• low dose CT q1y. d/c after pt stops smoking for 15y, or has health issue that limits life/limits ability to get surgery to cure

Question 6

Ovarian CA screening

• who to screen
• how to screen

Answer 6

• ONLY in BRCA 1/2 + pts

- transvag U/S + CA-125 q1y

Question 7

Medical disease to screen for in adults: Onlinemeded advises which 3 to remember?

For each, who gets screened and how?

Answer 7

1. Thyroid–females age 50.
   ONE TIME TSH
2. Osteoporosis–females age 65 (high risk 60).
   ONE TIME DEXA SCAN
3. AAA–males >65. smoke or have smoked
   ONE TIME AAA U/S