What type of tests/checkup is required for preventive health care?
There are a number of tests required for routine medical examination. Some of these are listed below:
Type of Test |
Required for |
Periodicity |
Additional Points |
Blood pressure check up | All adults | Annual | More frequent monitoring for those with BP of 135/85 or higher. |
Cholesterol check | All adults | Annual after 30 years and more often if high LDL or low HDL or other risk factors | Obese and those with family history of heart disease may require more frequently. |
Fasting blood glucose test | All above 40 and earlier for those at high risk | Annual | After age 30 for those with family history of diabetics. |
Dental Examination | All adults | Every 6 months or as advised | Cleaning and screening for oral cancer also required. |
Tetanus Diphtheria booster | All adults | Every 10 years | More regularly for aged above 50 |
Hepatitis vaccine | All adults | As advised by physician | All newborns should be vaccinated |
Chickenpox vaccine | All who have never had chickenpox | Once. But 2 shots are required for those above 13 years of age | Pregnant women should avoid. |
Pap smear ( for early detection of cervical cancer) | All women over 18 & earlier if sexually active | Once every 3 years if earlier 3 annual tests are normal & more often for smokers and having multiple sex partners | May stop after 60 years of age |
Breast cancer screening (mammography) | All women above 45 years | Annual | Self examination and clinical breast examination is also important |
Colorectal cancer screening Fecal matter blood test, sigmoidoscopy, colonoscop | All 45 years age and above: earlier for those at high risk | Blood test annually, Sigmoidoscopy every 3-4 years and colonoscopy every 7-8 years or as advised by your physician | X-Ray with barium enema may also be done. |
Thyroid disease screening | Women 50 years & above. Those with high cholesterol and family history of thyroid disease. | As advised by your physician or every 2-3 years | Ask your doctor about risk factors |
Glaucoma screening | Diabetics and with family history of diabetics, Aged over 50, very nearsighted and suffering from sleep apnea | Bi-annual or as advised by your physician | Preferably all adults over 35 years of age |
Chalmydia screening | Women 25 and younger, if sexually active | Annual or more often | Men & women of any age who are sexually active and at risk for sexually transmitted diseases. |
Prostate cancer screening (prostate specific antigen)or PSA test and rectal exam | Those with family history after 40 years of age and others after 50 | Rectal exam annually & PSA on doctors advice | PSA screening only on advice. |
Influenza vaccine | All aged 50 and above & those suffering from Lung/ heart disease or cancer | Annual | Even healthy younger adults should take it |
Pneumococcal Vaccine | All aged 60 and above & others under high risk for complications | At least once | Lasts 5-10 years against most types of Pneumococcal pneumonia |
Rubella Vaccine | All women of child bearing age | Once | Not to be taken during pregnancy |
There are other important preventive measures not listed above-the kind of commonsense steps that could prevent injury, illness, disability, and premature death. Here’s a checklist:
- Don’t smoke, and avoid secondhand smoke.
- Maintain a healthy weight.
- Get regular exercise. Brisk walking for just half an hour every day can be a big factor in weight control and in staying healthy.
- Choose a diet low in animal fat and sodium, and rich in fruits, vegetables, whole grains, and low-fat or nonfat dairy products.
- Keep alcohol consumption moderate: no more than one drink daily for a woman, two drinks for a man. If you are a heavy drinker, seek counseling, and cut back or quit.
- Do self-exams of your breasts or testes, as well as skin.
- Fasten seat belts, see that kids ride in proper restraints, and obey the law. Drive sober and defensively.
- Brush and floss to prevent dental disease.
Someday may be genetic altering may improve immunity levels for disease but until then it is sensible to take adequate care and precautions.
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