Match each clinical presentation with the single most appropriate evidence-based screening, immunization, or preventive intervention.
- A 45-year-old man with no chronic medical conditions and no family history of malignancyInitiate colorectal cancer screening with a stool-based test or direct visualization
- A 67-year-old man who smoked cigarettes for 15 years but quit smoking at age 35Perform a one-time ultrasound of the abdomen to evaluate for aortic aneurysm
- A 65-year-old woman with no chronic medical conditions who last received a tetanus booster 5 years agoAdminister a pneumococcal conjugate vaccine
- A 38-year-old woman with a body mass index of 33 kg/m² and normal blood pressureOrder a hemoglobin A1c or fasting plasma glucose test
Cevap
The 45-year-old man requires colorectal cancer screening; the 67-year-old former smoker requires abdominal aortic aneurysm screening; the 65-year-old woman requires pneumococcal vaccination; and the 38-year-old woman with obesity requires diabetes screening.
Appropriate preventive care requires matching patient-specific demographic factors—such as age, sex, BMI, and smoking history—with current USPSTF and ACIP guidelines. Colorectal screening universally begins at age 45. AAA screening applies to men 65-75 with any smoking history. Pneumococcal vaccines are universally indicated at age 65. Diabetes screening is indicated for overweight and obese adults starting at age 35.
Adım Adım Çözüm
Anahtar Kavram
Application of age- and risk-based USPSTF and ACIP preventive care guidelines across diverse adult populations.