Soru

Zorluk: OrtaPreventive Care and Screening

Match each patient presentation in the primary care setting with the single most appropriate, guideline-concordant preventive care intervention.

  • 31-year-old patient presenting for a routine evaluation who has never been previously tested for HIVOrder one-time screening for human immunodeficiency virus (HIV) infection
  • 29-year-old pregnant patient at 28 weeks gestation, up to date on all childhood vaccinesAdminister the tetanus, diphtheria, and acellular pertussis (Tdap) vaccine
  • 46-year-old asymptomatic patient with no family history of gastrointestinal malignancyOrder screening colonoscopy or fecal immunochemical test (FIT)
  • 41-year-old patient with no significant past medical history who has never been tested for hepatitis COrder one-time hepatitis C virus (HCV) antibody screening

Cevap

Each patient profile correctly maps to its specific, guideline-indicated preventive screening or immunization according to current USPSTF and ACIP age and risk criteria.
The correct pairings directly apply the most current, evidence-based recommendations from the USPSTF and ACIP. The 31-year-old requires one-time HIV screening; the pregnant patient requires a Tdap vaccine in the third trimester; the 46-year-old requires the initiation of colorectal cancer screening; and the 41-year-old requires one-time HCV screening.

Adım Adım Çözüm

1
Analyze the 31-year-old patient's preventive care needs.
Identified requirement for HIV screening.
All adults aged 15 to 65 years require at least one-time HIV screening.
2
Evaluate the 29-year-old pregnant patient's gestational age and vaccination needs.
Identified indication for Tdap administration.
Tdap must be given during every pregnancy at 27-36 weeks to maximize passive antibody transfer to the infant.
3
Assess the 46-year-old asymptomatic patient's age-related cancer screening requirements.
Identified indication for colorectal cancer screening.
Recent guideline updates lowered the starting age for average-risk colorectal cancer screening from 50 to 45 years.
4
Determine the infectious disease screening needs for the 41-year-old patient.
Identified requirement for HCV antibody screening.
Universal one-time HCV screening is indicated for all adults aged 18 to 79 years, regardless of specific risk factors.

Anahtar Kavram

Preventive Care and Screening Guidelines
Tahmini Süre:1m 0s
Bu soruyu puanla