Match each patient's clinical profile with the most appropriate next step in preventive care based on current United States Preventive Services Task Force (USPSTF) guidelines.
- A 68-year-old man with a 10 pack-year smoking history who quit 25 years ago; he is currently asymptomatic and has a body mass index of 23 kg/m².One-time screening with abdominal ultrasonography
- A 56-year-old woman with a 30 pack-year smoking history who quit 8 years ago; her body mass index is 22 kg/m².Annual screening with low-dose computed tomography of the chest
- A 52-year-old woman who underwent a total hysterectomy with bilateral salpingo-oophorectomy 5 years ago for symptomatic uterine leiomyomas; prior Pap testing was always normal.Discontinuation of routine cervical cancer screening
- A 42-year-old man with a body mass index of 29 kg/m² and normal blood pressure; he exercises rarely and has no significant medical history.Screening with a fasting plasma glucose or hemoglobin A1c test
Answer
Each patient must be paired with their specifically indicated preventive care intervention: the 68-year-old man gets abdominal ultrasonography, the 56-year-old woman gets low-dose CT of the chest, the 52-year-old woman stops cervical cancer screening, and the 42-year-old man gets diabetes screening.
The correct matches align precisely with current evidence-based USPSTF Grade A and B recommendations. Preventive interventions are tailored based on age thresholds, biological sex, surgical history, and specific thresholds for smoking exposure or body mass index.
Step-by-Step Solution
Key Concept
Appropriate application of USPSTF guidelines for adult preventive care and screening.