Match each of the following ambulatory patients with the single most appropriate screening recommendation according to current United States Preventive Services Task Force (USPSTF) guidelines.
- A 70-year-old biological male presenting to the ambulatory clinic. He smoked 3 cigarettes daily from age 18 to 24 but has not smoked since. His last colonoscopy was 5 years ago, and he had a normal lipid panel last month.One-time ultrasonography of the abdomen
- A 42-year-old biological female presenting for a wellness visit. She has never smoked, has a BMI of 31 kg/m^2, and had a normal Pap smear 2 years ago. She has no known medical conditions.Measurement of hemoglobin A1c or fasting plasma glucose
- A 58-year-old biological female in the clinic for follow-up. She smoked 1.5 packs of cigarettes daily for 20 years and quit 12 years ago. She had a normal mammogram and normal colonoscopy 2 years ago.Annual low-dose computed tomography of the chest
- A 23-year-old biological female presenting for contraceptive counseling. She is a lifelong nonsmoker, sexually active with a new male partner, and had a normal physical exam today. She has never been tested for sexually transmitted infections.Nucleic acid amplification testing for Chlamydia trachomatis and Neisseria gonorrhoeae
Cevap
The correct pairings match the 70-year-old male with an abdominal ultrasound, the 42-year-old female with diabetes screening, the 58-year-old female with low-dose CT, and the 23-year-old female with chlamydia/gonorrhea testing.
Each patient profile directly aligns with specific USPSTF grade A or B recommendations based on their age, sex, BMI, and exposure history. The 70-year-old male needs an abdominal ultrasound for AAA screening due to his age and lifetime smoking history of >100 cigarettes. The 42-year-old female requires diabetes screening due to her age and elevated BMI. The 58-year-old female requires a low-dose CT scan because she meets the 20 pack-year threshold and quit within the last 15 years. The 23-year-old female needs STI screening because she is sexually active and under the age of 25.
Adım Adım Çözüm
Anahtar Kavram
Current USPSTF guidelines for age- and risk-appropriate preventive screening.
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