Internal Medicine · USMLE Step 3

USMLE Step 3 Preventive Medicine and Screening

US Preventive Services Task Force screening guidelines and immunization schedules as tested on USMLE Step 3.

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At what age does USPSTF recommend starting average-risk colorectal cancer screening?
45 years old
Up to what age should average-risk adults continue colorectal cancer screening?
75 years old (individualize between 76 and 85)
What is the recommended screening interval for colonoscopy in average-risk colorectal cancer screening?
Every 10 years
How often should a fecal immunochemical test (FIT) be repeated for colorectal cancer screening?
Every year
Per the current USPSTF recommendation, at what ages and interval should average-risk women get screening mammography?
Ages 40 to 74, every 2 years
At what age should cervical cancer screening begin?
Age 21
For women aged 21 to 29, how should cervical cancer screening be done?
Cytology (Pap smear) alone every 3 years
When can cervical cancer screening generally be stopped?
Age 65, if prior screening has been adequate and the patient is not high risk
What is the eligible age range for lung cancer screening?
50 to 80 years old
What imaging test and frequency is used for lung cancer screening?
Annual low-dose CT scan
Which patients should get a one-time abdominal aortic aneurysm screening ultrasound?
Men aged 65 to 75 who have ever smoked
At what age should average-risk women begin osteoporosis screening with DEXA?
Age 65
How is the need for osteoporosis screening decided in postmenopausal women under 65?
Use a clinical risk assessment tool, such as FRAX, if risk factors are present
Which adults should be screened for prediabetes and type 2 diabetes?
Adults aged 35 to 70 who have overweight or obesity
At what age should routine office blood pressure screening for hypertension begin?
Age 18

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