A primary care physician is reviewing the charts of several adult patients scheduled for routine health maintenance visits. Based on current guidelines, match each patient's clinical profile with the most appropriate, immediate preventive intervention.
- A 66-year-old healthy woman whose last Papanicolaou test with high-risk human papillomavirus co-testing was normal at age 63; she has never sustained a fracture.Perform screening with a dual-energy x-ray absorptiometry scan
- A 52-year-old man of Asian descent with a body mass index of 23.5 kg/m2 who feels well; his blood pressure is 120/78 mmHg.Screen for abnormal blood glucose using hemoglobin A1c or fasting plasma glucose
- A 72-year-old man with a 30 pack-year smoking history who successfully quit 12 years ago; he has never undergone dedicated pulmonary imaging.Screen for lung cancer using low-dose computed tomography
- A 26-year-old healthy woman with no personal medical history; her older sister was recently identified as a carrier of a pathogenic BRCA1 gene mutation.Administer a familial risk assessment tool to determine the need for genetic counseling
Answer
Match the 66-year-old woman with a dual-energy x-ray absorptiometry scan. Match the 52-year-old Asian man with abnormal blood glucose screening. Match the 72-year-old former smoker with low-dose computed tomography. Match the 26-year-old woman with a sister having a BRCA1 mutation to the familial risk assessment tool.
Each patient's clinical profile perfectly aligns with a specific, strongly recommended preventive service based on current US Preventive Services Task Force guidelines regarding age, sex, ethnicity, family history, and smoking status.
Step-by-Step Solution
Key Concept
Application of US Preventive Services Task Force (USPSTF) guidelines for diverse adult populations, adjusting for demographic-specific risk factors such as age, ethnicity, and family history.