A 65-year-old male presents to the clinic for a routine health maintenance examination. He has not seen a physician in over a decade. He feels well and has no acute complaints. His medical history is unremarkable, and he takes no medications. He has a 40-pack-year history of smoking and continues to smoke one pack of cigarettes daily. Vital signs are within normal limits, and physical examination is unremarkable. Which of the following preventive screening tests are indicated for this patient? (Select all that apply)
- One-time ultrasonography for abdominal aortic aneurysmAnswer
- Annual low-dose computed tomography for lung cancerAnswer
- CDuplex ultrasonography for asymptomatic carotid artery stenosis
- DDual-energy x-ray absorptiometry for osteoporosis
- EResting electrocardiography for coronary artery disease
Answer
The indicated preventive screening tests for this patient are a one-time ultrasonography for an abdominal aortic aneurysm and an annual low-dose computed tomography for lung cancer.
The correct interventions are a one-time ultrasonography for an abdominal aortic aneurysm and an annual low-dose computed tomography for lung cancer. The USPSTF strongly recommends one-time abdominal aortic aneurysm screening for all men aged 65 to 75 who have ever smoked. Additionally, annual lung cancer screening with low-dose CT is indicated for adults aged 50 to 80 years with a 20 pack-year or greater smoking history who currently smoke or have quit within the past 15 years.
Step-by-Step Solution
Key Concept
USPSTF age- and risk-based screening guidelines for abdominal aortic aneurysm and lung cancer.