Match each patient presentation to the most appropriate United States Preventive Services Task Force (USPSTF) screening recommendation.
- 65-year-old man who smoked 1 pack per day for 20 years and quit 5 years agoOne-time screening with abdominal ultrasound
- 65-year-old healthy woman with no risk factors for fracturesDual-energy x-ray absorptiometry (DEXA)
- 24-year-old sexually active woman with a normal Pap smear at age 21Cervical cytology every 3 years
- 45-year-old healthy man with no significant medical or family historyInitiation of colorectal cancer screening
Answer
The former smoker matches to abdominal ultrasound; the 65-year-old woman matches to DEXA; the 24-year-old woman matches to cervical cytology; and the 45-year-old man matches to colorectal cancer screening.
Each patient's demographic and clinical profile matches a specific Grade A or Grade B recommendation from the USPSTF. Men aged 65 to 75 with a smoking history need AAA screening via ultrasound. Women aged 65 and older need osteoporosis screening via DEXA. Women aged 21 to 29 need Pap testing every 3 years. Average-risk adults must begin colorectal screening at age 45.
Step-by-Step Solution
Key Concept
USPSTF guidelines for routine age- and risk-appropriate clinical preventive screenings.