Review the following patient presentations from today's primary care clinic. For each patient, select the single most appropriate next step in preventive care based on current United States Preventive Services Task Force (USPSTF) guidelines.
- A 66-year-old male patient with a 40 pack-year smoking history, currently smoking. He is up to date on colonoscopy, annual low-dose chest CT, and lipid panel testing. No previous imaging of the abdomen has been recorded.One-time abdominal ultrasonography
- An active, healthy 66-year-old female who has never smoked. Her records indicate recent normal results for screening mammography, colonoscopy, and routine metabolic blood work.Dual-energy x-ray absorptiometry
- A 52-year-old woman who previously smoked 1 pack per day for 15 years before quitting 20 years ago. She had a normal colonoscopy and cervical cytology two years ago. Her most recent breast imaging was completed at age 48.Screening mammography
- An asymptomatic 24-year-old female patient who is sexually active with a new male partner. She has never smoked. A routine cervical cytology test performed 6 months ago was normal.Nucleic acid amplification testing for Chlamydia trachomatis
Answer
Match the 66-year-old male to one-time abdominal ultrasonography, the 66-year-old female to dual-energy x-ray absorptiometry, the 52-year-old woman to screening mammography, and the 24-year-old female to nucleic acid amplification testing for Chlamydia trachomatis.
Each patient accurately fulfills a specific, evidence-based USPSTF Grade A or B recommendation for screening interventions based on their exact combination of biological sex, age, and risk exposures.
Step-by-Step Solution
Key Concept
Age, sex, and risk-factor specific preventive screening modalities (USPSTF guidelines).