A 58 yo American female presents to establish care. She has a history of exercise induced asthma and HTN but is otherwise healthy without bad habits. What test should be part of your health maintenance screening?
a. DEXA
b. Hep C- Correct Answer
c. Zoster Vaccine
d. TSH
The Centers for Disease Control and Prevention (CDC) now recommends screening for all persons in the United States born between 1945 and 1965. This is a new recommendation as of 2012. This was based on a mathematical model that showed theapproach of 1-time screening for hepatitis C in this birth cohort followed by treatment was cost-effective.
Annals of Internal Medicine February 2012
Dexa scan is recommended in females >65: The USPSTF recommends screening for osteoporosis in women aged
65 years or older and in younger women whose fracture risk is equal to or greater than that of a 65-year-old white woman who has no additional
risk factors. The patient has no additional risk factors so should NOT be screened
USPSTF- Osteoporosis Screening
Zoster Vaccine in recommended by the CDC in patients without contraindications. This patient does not meet criteria based on age.
Shingles
There is insufficient evidence for thyroid screening in asymptomatic adults
USPSTF- TSH
