Know to Prevail

Screenings

What tests are in an annual physical?

The USPSTF does not rate a yearly physical as a whole. It rates single screenings, by age and sex. The ones with a grade A or B are the tests a yearly checkup can cover. (USPSTF, A and B list)

What a yearly visit is called, and what it includes

Every adult, at the ages shown

Women

Only if a risk factor applies

Which of these are blood tests?

Most items above are questions, measurements or imaging. The blood tests among them, with the test and interval in the USPSTF's words:

  • Prediabetes and type 2 diabetes (35 to 70, if you have overweight or obesity): fasting plasma glucose, A1c, or oral glucose tolerance test. Every 3 years may be reasonable if results are normal. (USPSTF, 2021)
  • Hepatitis C (18 to 79): antibody blood test, then a confirming test if positive. Once for most adults; repeat if risk continues (for example, injection drug use). (USPSTF, 2020)
  • HIV (18 to 65): hIV blood test. At least once; repeat testing is reasonable for people at increased risk. (USPSTF, 2019)

A cholesterol test (lipid panel) is the other blood test most adults get at a checkup. The USPSTF has no separate grade for it in adults, but NHLBI's guide is every 5 years for younger adults, every 1 to 2 years for men 45 to 65 and women 55 to 65, and every year after 65. (NHLBI) Details and fasting rules: cholesterol test by age; which blood tests need fasting: fasting before a blood test.

Other panels a lab may run are not USPSTF screenings. If your results include tests you did not expect, ask what each was ordered for. A common one is the complete blood count: CBC results and typical ranges; another is the metabolic panel: BMP and CMP results. A urine test is common too: urinalysis results. Which blood tests apply at each age: blood tests by age.

Men

  • No men-only screening applies without a risk factor. The aorta ultrasound for men 65 to 75 who have ever smoked is in the list above. (USPSTF, 2019)
  • A PSA test for prostate cancer is a decision to make with your doctor at 55 to 69 (grade C), not a routine test: prostate cancer screening by age.

Your numbers

Blood pressure, cholesterol, A1c, BMI and waist: the ranges each is judged against are on Know your numbers, with a wallet card to write yours on. How often to check cholesterol: cholesterol test by age. All the heart checks in one place: heart screenings by age.

Tests not on this list

This site covers USPSTF grade A and B screenings only. If a checkup includes other tests, ask your doctor what each one is for. Some common ones, such as a thyroid or vitamin D blood test or an ECG, are tests the USPSTF does not recommend routinely for people without symptoms. (USPSTF, 2015) (USPSTF, 2021) (USPSTF, 2018) More: screening tests you may not need and ECG at a checkup.

Build my screening plan

How often each test repeats, on one chart: screening intervals.

With type 2 diabetes or prediabetes, a yearly check for liver scarring may come up: fatty liver screening and the FIB-4 score.

If you snore loudly or feel sleepy in the day, say so: sleep apnea screening, STOP-Bang and Epworth.

To take to the checkup: questions to ask your doctor about screening, by age.

65 or older: which screenings continue and when each stops.

A checkup is also when medicines for prevention come up: statins by age and daily aspirin by age. All of them: prevention by age.

By age: 18, 21, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85.