High Yield USPSTF Guidelines for the Family Medicine Shelf Exam

The video introduces high-yield topics for the Family Medicine shelf exam, emphasizing the importance of USPSTF guidelines. Many students find the exam vague and struggle with resources. This video aims to share clinical and Shelf exam experiences to correctly answer exam questions.

Blood pressure screening starts at ages 18-39 without risk factors (every 3-5 years) and 40+ with risk factors (every year). Diagnosis requires two or more high readings on separate occasions, not just one due to White Coat Syndrome. Ambulatory monitoring is recommended.

ACE inhibitors and ARBs are typically first-line treatments. Thiazide diuretics can cause hypercalcemia and hyperuricemia (avoid in gout). Beta-blockers are used for hypertension with migraines or cardiovascular disease.

Hyperlipidemia screening starts at age 35 (males) and 45 (females) if at increased risk. Diabetes screening is recommended for everyone 35-70 if overweight or obese. Lung cancer screening (low-dose CT) starts at ages 50-80 with a 20-year smoking history or quit within the last 15 years.

Colon cancer screening (colonoscopy) starts at age 45 and is repeated every 10 years (unless family history dictates earlier screening). HIV screening is recommended for all patients ages 15-65. Syphilis screening is for anyone at increased risk of STDs.

Men aged 65-75 with a smoking history should be screened for abdominal aortic aneurysm via ultrasound. Sexually active women 25 or younger, or older women at increased risk, should be screened for chlamydia and gonorrhea.

Cervical cancer screening starts at age 21 (cytology every 3 years until 29). Between ages 30-65, cytology or hrHPV is done every 5 years or combined, also every 5 years. Breast cancer screening via mammogram starts at ages 50-74, every two years. Under 30 with lump, ultrasound ordered. Over 30, mammogram ordered.

Pregnant women should be screened for HIV (if status unknown), gestational diabetes (at week 24), and Hepatitis B (at first prenatal visit). Asymptomatic bacteriuria should be treated. Tdap vaccine is recommended for every pregnancy.

Osteoporosis screening (Dexa scan) starts at age 65 for women. Children should have Ophthalmology and auditory screening between ages 3-5. Depression is screened for between 12-18 years old, and obesity screening starts at six years old.

The video emphasizes the importance of knowing these USPSTF guidelines for the Family Medicine shelf exam and encourages viewers to review and reach out with any questions, as guidelines can change year to year. Good luck with the shelf exam.