🌱 Pwomosyon Sante · Leson 4 sou 6 · 6 min
Kilès yo Depiste pou Kisa, epi ki Lè
Who Gets Screened for What, and When
🔬 Yon fanm 45 zan ki an sante mande ki egzamen li 'dwe fè'. Gen yon vrè lis, ak vrè laj, epi egzamen an pral ba w yon pasyan epi mande ki depistaj ki an reta.
🔬 A healthy 45-year-old asks what checkups she is 'due for'. There is a real list, with real ages, and the exam will hand you a client and ask which screening is overdue.
💡 Ide prensipal
Kolon 45, mamografi 40 chak de zan, Pap apati 21, CT poumon pou gwo fimè 50 a 80, ultrason AAA pou gason 65 a 75 ki te fimen, dansite zo pou fanm a 65.
Colon 45, mammogram 40 every two years, Pap from 21, lung CT for heavy smokers 50 to 80, AAA ultrasound for men 65 to 75 who smoked, bone density for women at 65.
🧠 Poukisa sa enpòtan
Depistaj adilt komen nan U.S. Preventive Services Task Force: depistaj kansè KOLON apati laj 45 a 75 (kolonoskopi chak 10 zan oswa tès poupou pi souvan); mamografi kansè SEN chak 2 zan apati laj 40 a 74; kansè KÒL MATRIS ak sitoloji chak 3 zan apati 21 a 29, epi apati 30 a 65 swa sitoloji chak 3 zan oswa tès HPV gwo risk, pou kont li oswa ak sitoloji (kotesting), chak 5 zan; tès HPV pou kont li pi plis prefere, epi li ka itilize yon echantiyon ou pran pou kont ou; CT ba dòz anyèl pou kansè POUMON apati 50 a 80 pou moun ki gen yon istwa 20 pake-ane ki fimen oswa ki kite fimen nan 15 dènye ane yo; ultrason yon sèl fwa pou ANEVRIS AÒTIK ABDOMINAL pou gason 65 a 75 ki te janm fimen; dansite zo pou OSTEYOPOWOZ pou fanm 65 an e plis, epi pou fanm apre menopoz ki poko gen 65 an ki gen plis risk frakti; TANSYON pou tout adilt; depistaj DYABÈT pou adilt 35 a 70 ki twò gwo oswa obèz; depistaj VIH omwen yon fwa pou laj 15 a 65; depistaj DEPRESYON pou tout adilt ak adolesan. Depistaj kansè pwostat ak PSA pou gason 55 a 69 se yon desizyon endividyèl, pataje, olye routin. Gid yo chanje; egzamen an teste sa ki aktyèl yo.
Common adult screenings from the U.S. Preventive Services Task Force: COLORECTAL cancer screening from age 45 to 75 (colonoscopy every 10 years or stool-based tests more often); BREAST cancer mammography every 2 years from age 40 to 74; CERVICAL cancer with cytology every 3 years from 21 to 29, and from 30 to 65 either cytology every 3 years or high-risk HPV testing, alone or with cytology (cotesting), every 5 years; HPV testing alone is increasingly preferred, and it can use a self-collected sample; LUNG cancer yearly low-dose CT from 50 to 80 for people with a 20 pack-year history who smoke or quit within the past 15 years; ABDOMINAL AORTIC ANEURYSM one-time ultrasound for men 65 to 75 who have ever smoked; OSTEOPOROSIS bone density for women 65 and older, and for postmenopausal women younger than 65 at increased fracture risk; BLOOD PRESSURE for all adults; DIABETES screening for adults 35 to 70 who are overweight or obese; HIV screening at least once for ages 15 to 65; DEPRESSION screening for all adults and adolescents. Prostate cancer screening with PSA for men 55 to 69 is an individual, shared decision rather than routine. Guidelines change; the exam tests the current ones.
🏥 Nan lavi reyèl
📅 Yon gason 52 zan ki te fimen yon pake pa jou pandan 25 an epi ki te kite depi 10 an kwè li 'fin enkyete pou fimen'. Li kalifye pou depistaj poumon CT ba dòz anyèl jis 15 an pase depi li kite, epi li an reta pou depistaj kolorektal, ki te kòmanse a 45. De konvèsasyon, toulede ka sove lavi, toulede rate si enfimyè a pa konnen laj yo.
📅 A 52-year-old man who smoked a pack a day for 25 years and quit 10 years ago believes he is 'done worrying about smoking'. He qualifies for annual low-dose CT lung screening until 15 years have passed since quitting, and he is overdue for colorectal screening, which started at 45. Two conversations, both potentially life-saving, both missed if the nurse does not know the ages.
📌 Sa pou retni
- Depistaj kolorektal kòmanse a 45; mamografi a 40 chak de zanColorectal screening starts at 45; mammography at 40 every two years
- Kòl matris: chak 3 zan apati 21; baze sou HPV chak 5 zan apati 30Cervical: every 3 years from 21; HPV-based every 5 years from 30
- CT poumon: 20 pake-ane, laj 50 a 80, fimen oswa kite nan 15 anLung CT: 20 pack-years, ages 50 to 80, smoking or quit within 15 years
✅ Teste tèt ou
Yon fanm 46 zan ki pa gen faktè risk mande ki depistaj li ta dwe deja kòmanse. Kilès ki kòrèk?A 46-year-old woman with no risk factors asks which screening she should have started by now. Which is correct?
- Iltrason anevris aòtik abdominalAbdominal aortic aneurysm ultrasound
- CT kansè poumonLung cancer CT
- Depistaj kansè kolorektalColorectal cancer screening
- Eskan dansite zoBone density scan
Repons: C · Depistaj kansè kolorektal
Depistaj kolorektal kòmanse a 45 pou adilt ki gen risk mwayen. Dansite zo kòmanse a 65 pou fanm ki pa gen plis risk frakti, CT poumon bezwen yon gwo istwa fimen, epi depistaj AAA aplike a gason 65 a 75 ki te fimen.
Colorectal screening begins at 45 for average-risk adults. Bone density starts at 65 for women without increased fracture risk, lung CT needs a heavy smoking history, and AAA screening applies to men 65 to 75 who smoked.
Ki pasyan ki ranpli kritè pou depistaj kansè poumon CT ba dòz anyèl?Which client meets criteria for annual low-dose CT lung cancer screening?
- Yon moun 55 zan ki pa janm fimen men ki gen yon istwa fanmiA 55-year-old who never smoked but has a family history
- Yon moun 45 zan ki te fimen 1 pake pa jou pandan 10 anA 45-year-old who smoked 1 pack a day for 10 years
- Yon moun 70 zan ki te kite fimen depi 25 anA 70-year-old who quit smoking 25 years ago
- Yon moun 60 zan ki te fimen 1 pake pa jou pandan 30 an epi ki te kite depi 5 anA 60-year-old who smoked 1 pack a day for 30 years and quit 5 years ago
Repons: D · Yon moun 60 zan ki te fimen 1 pake pa jou pandan 30 an epi ki te kite depi 5 an
Laj 50 a 80, omwen 20 pake-ane, epi k ap fimen kounye a oswa ki te kite nan 15 an. Moun 70 zan an nan entèval laj la men li te kite depi 25 an, pase limit 15 an an.
Age 50 to 80, at least 20 pack-years, and currently smoking or quit within 15 years. The 70-year-old is in the age range but quit 25 years ago, past the 15-year limit.
Dapre USPSTF, ki entèval yo rekòmande pou mamografi depistaj nan yon fanm ki gen risk mwayen ki gen laj 40 a 74?Per the USPSTF, what is the recommended interval for screening mammography in an average-risk woman aged 40 to 74?
- Chak 2 anEvery 2 years
- Yon fwa a laj 50Once at age 50
- Chak anEvery year
- Chak 5 anEvery 5 years
Repons: A · Chak 2 an
Rekòmandasyon USPSTF aktyèl la se chak de zan apati 40 a 74. Chak an se entèval kèk lòt òganizasyon rekòmande, pa USPSTF.
The current USPSTF recommendation is every two years from 40 to 74. Every year is the interval some other organizations recommend, not the USPSTF.
Kesyon tankou NCLEX, XP ak seri jou nan aplikasyon an, an angle ak èd an kreyòl. Pa bezwen enskri.