Tests and examinations
Your daylong visit to the Johns Hopkins Executive & Preventive Health program will be tailored to meet your individual health needs, based on personal preferences and your Patient Information questionnaire. Request an appointment today.
The Standard Executive & Preventive Health Visit includes:
- Detailed Medical History and Physical Examination – A thorough medical history is the cornerstone for effective assessment and diagnosis. It reviews any past problems and looks for susceptibilities based on your personal and family background, as well as your health habits. This is the opportunity for you to raise any medical concerns you may have. Your personal Johns Hopkins Executive & Preventive Health physician will perform an extensive physical examination.
- Comprehensive Laboratory Screening Tests – These detect indications of anemia, diabetes, thyroid disease, liver and kidney disease, and include a lipid panel to assess cardiac and stroke risk factors. Testing for men also includes Prostate Specific Antigen (PSA) screening. The PSA is appropriate in any male whose digital rectal examination raises any concern about malignancy. Baseline testing for men begins at age 40.
- Resting Electrocardiogram (EKG) – Detects changes in the heart’s electrical activity. Patterns seen in the tracing indicate where tissue may have been damaged, if coronary arteries may be blocked, or if irregular beats occur frequently.
- Chest X-ray – Assesses heart size (thickened walls may reflect decreased pumping ability) and pulmonary disease, including lung masses. A chest x-ray should be obtained at the first visit. Subsequent studies may be needed if the individual has a history of respiratory symptoms, smoking, or known lung disease.
- Audiogram – Performed by an audiologist who also makes recommendations to help preserve hearing or who may suggest sound amplification. Hearing loss of some degree affects 22 million Americans; high frequency loss, which impairs speech comprehension, is the most common form. An audiogram should be obtained at the first visit. Subsequent studies will be determined based on the individual's need.
- Eye Examination – Performed at the Wilmer Eye Institute and includes the external eye structures, pupils, eye muscle function, internal pressure, visual fields and visual acuity. An eye exam is appropriate on a biannual basis unless visual, ocular symptoms or known eye disease warrants reevaluation or a second opinion. Annual examination for those over 40 years old and without ocular symptoms are recommended for diabetics, individuals with a family history of glaucoma, and for African Americans (due to greater risk of glaucoma).
- Dermatology Screening – A check for cancer, moles, rashes and other lesions is performed by a member of our Dermatology faculty. Screening is recommended on an annual basis.
- Nutrition Counseling – Available for individuals who wish to seek advice and information from a registered dietitian. Specific nutritional issues related to health maintenance and disease prevention will be discussed based on the individual’s current laboratory indices and nutrition assessment.
- Final Conference – Includes a review of test results, recommendations for any further testing or follow-up, and counseling about personal health habits. This may be the most important part of the day. A personalized, written summary will also be sent a few weeks later; a copy can be sent to your primary care physician if you desire. We encourage you to contact your Executive & Preventive Health physician if you have any questions about his/her findings or recommendations.
- Exercise Stress Test – This treadmill test provides information about how your heart responds to physical activity. A baseline test is recommended beginning at age 45 for men and age 50 for women who are individuals with risk factors for premature arteriosclerosis (diabetes, cigarette smoking, significant hypercholesterolemia, and famiyl history of heart attacks at a young age) and for others beginning at age 50. Whether or not it should be repeated requires individualized review with your Executive & Preventive Health physician.
- Pulmonary Function Test (PFT) – Assesses for emphysema, bronchitis, asthma, or other pulmonary problems PFTs should be obtained at the first visit. Follow-up studies on subsequent visits may be obtained if the individual has a history of respiratory symptoms, smoking or known lung disease.
- Exercise Counseling – Available for individuals who wish to seek advice and guidelines from a certified exercise specialist on their present exercise regimen and ways to enhance it, as well as those interested in starting an exercise program. These guidelines will include the appropriate type, intensity, duration, frequency, and rate of progression relative to the initial level of fitness.
- Body Fat Analysis – Higher levels of body fat have been shown to be associated with numerous medical conditions, including diabetes, heart disease, sleep apnea, and certain cancers. Measurements are taken to estimate an individual's overall body fat.
- Ankle-Brachial Index/Peripheral Arterial Disease (PAD) Screening – Individuals with impaired blood flow to the legs (PAD) have been shown to be at high risk for heart disease and stroke. The American Heart Association currently recommends this test for all individuals over age 70, for those age 50 and 70 with a history of smoking or diabetes, and for individuals under 50 with a history of diabetes and one other cardiovascular risk factor (i.e., hypertension, high cholesterol, family history of heart disease), and in all individuals with a history of heart disease or stroke.
- Colonoscopy – Recommended (in place of sigmoidoscopy) by the American Cancer Society to screen for colorectal cancer in all Americans 50 years of age or older every 8-10 years. Greater frequency of colonoscopy is appropriate for individuals with a family or personal history of colorectal cancer or polyps. This procedure requires thorough cleansing of the bowel and intravenous sedation. An additional day and a chaperone to accompany the individual home after the procedure are usually necessary. In comparison to sigmoidoscopy screening, colonoscopy has the advance of greater detection of colorectal cancer and polyps.
- Human Immunodeficiency Virus (HIV) Testing – The Centers for Disease Control (CDC) recommend HIV testing for all adults under the age of 65. Signed patient consent will be obtained prior to this blood test being sent to the laboratory.
- Mammogram – Women in their 40s should be screened at least biannually with mammography. Women aged 50 and older should be screened annually.
- The Breast Center offers breast examination and ultrasound if clinically indicated.
- Pelvic Examination & Pap Smear
- Bone Density Scan – To detect osteoporosis. This study should be obtained by women who are peri-menopausal and have not been previously tested. Mild bone loss begins in the late 20's, but with the onset of menopause women begin losing bone mass at the rate of 1-5% per year, putting them at risk for one of 1.5 million wrist, hip and spinal fractures caused yearly by osteoporosis. The necessity of annual follow-up is determined by individual's situation. This test is done for men based on predisposing conditions.