Question

Difficulty: EasyPreventive Care and Screening

Match each patient presentation to the single most appropriate next step in preventive care and screening according to current guidelines.

  • 23-year-old asymptomatic female who is sexually active with a new male partner; previously screened for HIVAnnual chlamydia and gonorrhea screening
  • 52-year-old healthy male presenting for a routine check-up; up to date on routine infectious disease screeningsRecombinant zoster vaccination series
  • 42-year-old healthy female presenting for a wellness visit, with no family history of cancer; up to date on all blood testsBiennial screening mammography
  • 35-year-old healthy male establishing care; has never undergone any infectious disease screeningOne-time screening for human immunodeficiency virus (HIV)

Answer

The correct pairings align the 23-year-old female with chlamydia/gonorrhea screening, the 52-year-old male with the recombinant zoster vaccine, the 42-year-old female with screening mammography, and the 35-year-old male with routine HIV screening.
Each patient precisely meets the age and risk criteria for a specific, highly-tested primary prevention or screening intervention as outlined by the USPSTF and ACIP. Matching these correctly demonstrates baseline competence in routine ambulatory care.

Step-by-Step Solution

1
Evaluate the 23-year-old female
Identify that she is under 25 and sexually active.
This meets the criteria for routine annual chlamydia and gonorrhea screening.
2
Evaluate the 52-year-old male
Identify that he has crossed the age 50 threshold.
Reaching age 50 is the primary indication to initiate the recombinant zoster vaccination series.
3
Evaluate the 42-year-old female
Identify her as an average-risk female over the age of 40.
Current USPSTF guidelines stipulate initiating biennial screening mammography at age 40.
4
Evaluate the 35-year-old male
Identify that he has never had infectious disease screening.
All adults between 15 and 65 require a one-time HIV screening test.

Key Concept

Age- and risk-appropriate implementation of core USPSTF and ACIP preventive screening guidelines.
Rate this question