Review the following clinical profiles of patients presenting for ambulatory care visits. For each patient, match their presentation with the single most appropriate, guideline-concordant preventive care intervention to order next.
- A 35-year-old male who recently immigrated from a country with high tuberculosis endemicity; he has no symptoms of cough or fever.Perform testing for latent tuberculosis infection
- A 28-year-old male who is sexually active with multiple male partners and reports inconsistent condom use.Initiate discussion and evaluation for HIV preexposure prophylaxis (PrEP)
- A 70-year-old female presenting for an annual wellness visit; her last bone mineral density scan was performed at age 62.Order dual-energy x-ray absorptiometry to screen for osteoporosis
- A 55-year-old male with well-controlled hypertension, no history of cardiovascular disease, and a calculated 10-year ASCVD risk of 8.5%.Prescribe a statin for primary prevention of cardiovascular disease
Cevap
Each patient's clinical profile corresponds to a specific USPSTF grade A or B recommendation for screening or primary prevention.
Each correct pairing directly reflects current, evidence-based USPSTF Grade A and B recommendations tailored to the unique demographic and clinical risk factors of the patient.
Adım Adım Çözüm
Anahtar Kavram
Application of age- and risk-specific USPSTF preventive guidelines for tuberculosis, HIV prophylaxis, osteoporosis, and cardiovascular disease.