A primary care physician is reviewing the charts of four patients scheduled for clinic visits today. Identify the single most appropriate preventive screening test indicated for each patient based on current guidelines.
- A 66-year-old healthy female with no previous bone mineral density evaluationsDual-energy x-ray absorptiometry (DXA)
- A 23-year-old asymptomatic female who is sexually active with a new male partnerNucleic acid amplification test for Chlamydia trachomatis
- A 66-year-old male with a past history of smoking 10 cigarettes daily for 15 yearsAbdominal ultrasonography
- A 45-year-old asymptomatic male with average risk and no prior gastrointestinal workupColonoscopy or fecal immunochemical test
Answer
The 66-year-old female matches with DXA; the 23-year-old female matches with Chlamydia trachomatis testing; the 66-year-old male matches with Abdominal ultrasonography; and the 45-year-old male matches with Colonoscopy or fecal immunochemical test.
Each patient demographic exactly matches a specific Grade A or B recommendation by national preventive task forces. DXA is for women 65+; Chlamydia NAAT is for sexually active women under 25; abdominal ultrasound is for men 65-75 with a smoking history; and colon cancer screening begins at 45.
Step-by-Step Solution
Key Concept
Age and Risk-Based Preventive Screening Guidelines