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Difficulty: MediumClinical Preventive Services and Screening

Match each patient profile with the most appropriate United States Preventive Services Task Force (USPSTF) Grade A or B screening recommendation.

  • 68-year-old man, former smoker (30 pack-years, quit 10 years ago), no prior preventive screening.One-time screening with abdominal ultrasonography
  • 52-year-old woman, current smoker (25 pack-years), generally healthy.Annual screening with low-dose computed tomography (LDCT)
  • 23-year-old woman, sexually active, asymptomatic, presents for a routine wellness exam.Screening for Chlamydia trachomatis and Neisseria gonorrhoeae
  • 42-year-old man, asymptomatic, blood pressure 125/80 mmHg, body mass index 28 kg/m2.Screening for prediabetes and type 2 diabetes mellitus

Answer

Match the 68-year-old male former smoker to AAA screening, the 52-year-old female current smoker to lung cancer screening, the 23-year-old sexually active woman to chlamydia and gonorrhea screening, and the 42-year-old overweight man to diabetes screening.
Each correct pairing directly applies a Grade A or B recommendation from the USPSTF, which stratifies screening modalities based on age, sex, BMI, and specific risk factors like smoking history or sexual activity.

Step-by-Step Solution

1
Evaluate the 68-year-old man's risk factors.
He is a male aged 65-75 with a history of smoking.
This specific demographic requires one-time screening for an abdominal aortic aneurysm via ultrasonography.
2
Evaluate the 52-year-old woman's risk factors.
She is aged 50-80, has a >20 pack-year smoking history, and is a current smoker.
These factors meet the criteria for annual lung cancer screening with low-dose computed tomography.
3
Evaluate the 23-year-old woman's risk factors.
She is a sexually active female under the age of 25.
All sexually active women aged 24 and younger require routine screening for Chlamydia trachomatis and Neisseria gonorrhoeae.
4
Evaluate the 42-year-old man's risk factors.
He is an adult aged 35-70 with a body mass index (BMI) of 28 kg/m2 (overweight).
Adults aged 35 to 70 who are overweight or obese should be screened for prediabetes and type 2 diabetes.

Key Concept

USPSTF Screening Guidelines based on demographic and clinical risk factors
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Topics

Clinical Preventive Services and Screening

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