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Zorluk: OrtaPreventive Care and Screening

Match the following ambulatory clinic patients, detailing their demographic and clinical risk profiles, to the single most appropriate evidence-based screening or preventive intervention according to current clinical guidelines.

  • A 68-year-old biological male, former smoker (35 pack-years, quit 10 years ago), presenting for an initial wellness visit. His fasting laboratory results from last month were normal, but he has never had vascular or chest imaging.Perform a one-time abdominal aortic aneurysm screening ultrasound and initiate annual low-dose computed tomography of the chest.
  • A 51-year-old biological female, non-smoker, who underwent a total hysterectomy for symptomatic uterine fibroids 5 years ago. Her cervical screening history prior to surgery was consistently normal.Discontinue cervical cancer screening; initiate or ensure up-to-date routine breast and colorectal cancer screening.
  • A 24-year-old biological female, sexually active with a new partner, utilizing oral contraceptives. Her last well-woman visit was at age 21, at which time her cervical cytology was normal.Perform nucleic acid amplification testing for chlamydia and gonorrhea; repeat cervical cytology.
  • A 45-year-old biological male, BMI 33 kg/m², blood pressure 130/82 mmHg, who is asymptomatic. He recently completed a negative home fecal immunochemical test, but has no other recent screening evaluations.Obtain a hemoglobin A1c or fasting plasma glucose, and perform a fasting lipid panel.

Cevap

The correct matches pair each patient's age, biological sex, and specific risk factors (e.g., smoking history, BMI, surgical history) with the appropriate preventive screening interventions according to USPSTF guidelines.
Each correct match strictly follows the United States Preventive Services Task Force (USPSTF) guidelines. Screening parameters are heavily dependent on an individual's age bracket, biological sex, surgical history, BMI, and social history (such as smoking).

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1
Evaluate the 68-year-old male former smoker.
Identify indications for vascular and lung imaging.
His age and smoking history meet the exact criteria for one-time AAA screening and annual LDCT for lung cancer.
2
Evaluate the 51-year-old female post-hysterectomy.
Identify that cervical cancer screening is no longer indicated.
Removal of the cervix for a benign indication negates the need for future Pap smears.
3
Evaluate the 24-year-old sexually active female.
Identify indications for STI testing and routine cytology.
Annual chlamydia and gonorrhea screening is indicated for sexually active women under 25; a 3-year interval for Pap smears applies to her age group.
4
Evaluate the 45-year-old male with a BMI of 33 kg/m².
Identify indications for metabolic and cardiovascular screening.
His age and BMI mandate diabetes screening, and his age alone mandates lipid panel evaluation.

Anahtar Kavram

Application of age- and risk-specific preventive screening guidelines.
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Konular

Preventive Care and Screening

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