Match each of the following ambulatory adult patients with the most appropriate next step in preventive care or screening based on current United States Preventive Services Task Force (USPSTF) guidelines.
- A 52-year-old man who currently smokes with a 25 pack-year history; colonoscopy performed 3 years ago was normal.Annual low-dose computed tomography of the chest
- A 38-year-old man with a body mass index of 33 kg/m² and a blood pressure of 125/82 mmHg; asymptomatic.Screening for abnormal blood glucose (e.g., hemoglobin A1c)
- A 66-year-old woman with no past medical history who has never smoked; mammography and colonoscopy performed at age 64 were normal.Bone measurement testing (e.g., dual-energy x-ray absorptiometry)
- A 23-year-old woman who recently became sexually active with a new partner; prior cervical cytology at age 21 was normal.Nucleic acid amplification test for chlamydia and gonorrhea
Answer
The 52-year-old smoker matches with LDCT. The 38-year-old with obesity matches with blood glucose screening. The 66-year-old woman matches with bone measurement testing. The 23-year-old sexually active woman matches with chlamydia and gonorrhea screening.
Each match reflects current evidence-based guidelines from the USPSTF. LDCT is indicated based on age (50-80) and smoking history (>20 pack-years). Blood glucose screening is indicated based on age (35-70) and BMI (overweight/obese). Bone measurement testing is indicated for all women 65 and older. STI screening is indicated for all sexually active women under 25.
Step-by-Step Solution
Key Concept
Application of age- and risk-appropriate preventive screening guidelines for adults in the ambulatory setting.
Estimated Time:1m 30s