Review the following patient profiles from an outpatient primary care clinic. Match each patient with the most critical, guideline-concordant preventive care intervention required during their visit today.
- 29-year-old gravid patient at 28 weeks gestation; BMI 22 kg/m²; received a tetanus-diphtheria toxoid booster 2 years ago for a minor wound.Administer Tdap vaccine today to maximize maternal antibody transfer.
- 71-year-old man; BMI 24 kg/m²; former smoker with a 40 pack-year history who quit 8 years ago; no current pulmonary symptoms.Order annual low-dose computed tomography to screen for pulmonary malignancy.
- 38-year-old man; BMI 33 kg/m²; never-smoker; blood pressure 118/76 mmHg; reports feeling completely well.Screen for abnormal glucose metabolism using hemoglobin A1c or fasting glucose.
- 22-year-old woman; BMI 21 kg/m²; sexually active with a new partner; relies on oral contraceptives; completely asymptomatic.Perform routine nucleic acid amplification testing for Chlamydia and Gonorrhea.
Answer
The gravid patient matches with Tdap administration. The older former smoker matches with LDCT screening. The middle-aged man with obesity matches with diabetes screening. The young sexually active woman matches with STI screening.
Each match correctly identifies the single most appropriate, guideline-driven intervention for that demographic. The pregnant patient requires Tdap for fetal pertussis immunity. The 71-year-old former smoker remains within the 15-year cessation window for LDCT lung cancer screening. The 38-year-old man requires diabetes screening due to his age and BMI of 33 kg/m². The 22-year-old woman requires routine STI screening based purely on her age and sexual activity status.
Step-by-Step Solution
Key Concept
Applying evidence-based preventive care and screening guidelines across diverse patient demographics and risk factors.