Screening

Question 1

Screening benefits

Answer 1

• Detect early pre sx
• Tx more effective if early
• Informed decisions
• Reduce chance or complications
• Prevent deaths

Question 2

Risks screening

Answer 2

• Not 100% accurate = FP or FN
• Difficult decisions
• Anxiety
• Can be missed

Question 3

Cervical ages

Answer 3

25-49 every 3 years
50-64 every 5 years

Question 4

breast ages

Answer 4

50-70 = 3 yearly mammogram
- 1400 lives saved a year

Question 5

bowel screening ages

Answer 5

60-74 every 2 years
- FIT test = posted
- abnormal = colonoscopy = normal, polyps, cancer (1/10)

Question 6

AAA screening

Answer 6

• year turn 65 one USS
• <3cm no action
• 3-4.4 12m
• .45-5.4 = 3m
• > 5.5 = 2ww

Question 7

neonatal blood spot screening

Answer 7

• 5-9 days of life
• tests 9 conditions
• hypothyroid, SCD, CF, inherited metabolic diseases etc.

Question 8

Newborn hearing test

Answer 8

• 4-5w of life
• automated otoacoustic emission test = earpiece and sounds/clicks = echo back
• 2nd test = automated auditory brainstem response = 3 sensors and headphones and clicks

Question 9

pregnancy infectious disease screen

Answer 9

• hep b
• HIV
• syphillis
• done by 10w

Question 10

screening downs, ed, pat

Answer 10

• Downs = T21
• Ed = T18
• P = T13
• combined = USS and PAPPA/BHCG
• quad = downs = plus inhibin a

Question 11

if downs screen +ve

Answer 11

• offered amniocentesis of CVS
• chorionic villus sampling = biopsy placenta
• amniocentesis = amniotic fluid