Match each patient presenting to the primary care clinic for a routine health maintenance visit with the highly recommended (USPSTF Grade A or B) preventive screening service most specifically indicated for their demographic and risk profile.
- 67-year-old man, asymptomatic, 30 pack-year smoking history, quit 5 years agoOne-time abdominal aortic aneurysm screening with ultrasonography and annual low-dose chest computed tomography
- 22-year-old woman, asymptomatic, newly sexually active with a male partnerAnnual screening for Chlamydia trachomatis and Neisseria gonorrhoeae infection via nucleic acid amplification testing
- 42-year-old man, asymptomatic, body mass index of 31 kg/m², blood pressure 132/84 mm HgScreening for type 2 diabetes mellitus with a hemoglobin A1c or fasting plasma glucose test
- 65-year-old woman, asymptomatic, underwent menopause at age 52, no prior bone density testingOne-time screening for osteoporosis with a dual-energy x-ray absorptiometry (DEXA) scan
Cevap
The 67-year-old former smoker matches with AAA and lung cancer screening. The 22-year-old sexually active woman matches with Chlamydia and gonorrhea screening. The 42-year-old obese man matches with diabetes screening. The 65-year-old postmenopausal woman matches with osteoporosis screening.
Each patient profile specifically targets a distinct, highly-tested USPSTF guideline. The smoking history and age in the 67-year-old man dictate AAA and lung cancer screenings. The age and sexual activity of the 22-year-old woman dictate STI screening. The BMI and age of the 42-year-old man necessitate diabetes screening. Finally, the age of the 65-year-old woman makes her eligible for her first osteoporosis screening.
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Anahtar Kavram
USPSTF Clinical Preventive Services and Screening Guidelines