During a morning clinic session, an attending physician discusses preventive care strategies with a medical resident. They review several distinct patient cases to determine the optimal, evidence-based screening recommendations. Match each patient's clinical profile to their most appropriate indicated screening test.
- A 55-year-old female who currently smokes 1 pack of cigarettes per day and has a 30 pack-year smoking history.Annual low-dose computed tomography (LDCT) of the chest
- A 68-year-old male establishing care, who reports a 2 pack-year smoking history during his twenties before quitting entirely.One-time abdominal ultrasound for aortic aneurysm screening
- A 23-year-old asymptomatic female who is sexually active with a new male partner.Routine screening for Chlamydia trachomatis and Neisseria gonorrhoeae
- A 66-year-old female with no smoking history and no prior fractures, presenting for an annual wellness visit.Dual-energy x-ray absorptiometry (DEXA) scan for osteoporosis
Cevap
The 55-year-old female smoker matches with LDCT. The 68-year-old male former smoker matches with one-time abdominal ultrasound. The 23-year-old sexually active female matches with Chlamydia and Gonorrhea screening. The 66-year-old female matches with the DEXA scan.
Each patient precisely meets the USPSTF Grade A or B recommendation criteria for their respective screening test without meeting criteria for the others. The 55-year-old female needs LDCT for lung cancer screening. The 68-year-old male needs an abdominal ultrasound for AAA screening. The 23-year-old female needs chlamydia and gonorrhea screening. The 66-year-old female needs a DEXA scan for osteoporosis.
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Anahtar Kavram
Current USPSTF guidelines for age- and risk-appropriate preventive screening.