A clinician is reviewing vaccines with an adult. Which factors should inform the individualized vaccine plan? Select all that apply.
2 Screening and Preventive Services Online Quiz Questions
Use this free practice quiz with 20 questions to review 2 Screening and Preventive Services, test your knowledge, and prepare for your next test or exam.
Which elements are appropriate parts of adolescent preventive care? Select all that apply.
- A
Assess emotional health and mental well-being.
- B
Limit the visit to measuring height and weight.
- C
Discuss school and social functioning, substance use, sexual health, and safety.
- D
Provide recommended vaccines, including HPV vaccination.
A positive stool-based test for colorectal cancer screening requires follow-up colonoscopy.
- A
True
- B
False
Live vaccines may be unsuitable during pregnancy or for some people with severe immunosuppression.
- A
True
- B
False
When reassessing screening in older adulthood, clinicians should consider health, function, prior screening, , and patient preferences.
Pregnancy-specific vaccination includes during each pregnancy.
At what age does routine colorectal cancer screening begin for adults? Enter the starting age in years.
For the described annual low-dose CT lung cancer screening group, what is the minimum smoking history? Enter the value in pack-years.
A clinician is considering cervical cancer screening guidance for a patient with a history of abnormal results. Explain how the clinician should distinguish the current final USPSTF recommendation from the later draft update, and why the patient's history matters.
For women ages 40–74 at average risk, how many years apart does the USPSTF recommend routine mammography?
Through what age does Bright Futures recommend health-supervision visits?
The later USPSTF cervical cancer screening update described in the material is a finalized recommendation.
- A
True
- B
False
A patient is behind on a routine vaccine series. What is the appropriate general approach?
- A
Restart the series from the first dose in every case.
- B
Use the current catch-up schedule; most series do not need to be restarted.
- C
Stop the series because the recommended timing has passed.
- D
Give all remaining doses at the next visit, regardless of vaccine-specific intervals.
A patient reports a new concerning symptom, although no routine screening test is due. What should the clinician do?
- A
Wait until the next routine screening interval.
- B
Order a broader screening panel without assessing the symptoms.
- C
Arrange timely diagnostic evaluation of the symptoms.
- D
Reassure the patient that screening is unnecessary until the next preventive visit.
A person completing colorectal cancer screening has a positive stool-based test. What is the appropriate next step?
- A
Arrange follow-up colonoscopy.
- B
Repeat the same stool test at the next routine screening interval without further evaluation.
- C
Treat the result as a diagnosis of colorectal cancer.
- D
Stop screening because the stool test has already been completed.
A pregnant patient missed the recommended early syphilis screening. What should the care team do?
- A
Wait until delivery unless symptoms develop.
- B
Screen only if the patient reports a known exposure.
- C
Defer testing until after pregnancy.
- D
Screen at the first available opportunity.
An older adult has serious illness that may limit the benefit of treatment after a screening result. How should screening decisions be approached?
- A
Continue every screening test on the usual schedule, regardless of health or preferences.
- B
Reassess screening in light of health, function, prior screening, life expectancy, and preferences.
- C
Stop all preventive care whenever a person has a serious illness.
- D
Base the decision only on chronological age.
Which plan matches the recommendation for lung cancer screening in an asymptomatic adult with a smoking history?
- A
Annual low-dose CT for anyone ages 50–80 who has ever smoked, regardless of smoking history or quit date.
- B
Annual chest X-ray for adults ages 50–80 with at least a 20 pack-year history.
- C
Annual low-dose CT for adults ages 50–80 with at least a 20 pack-year history who currently smoke or quit within the past 15 years, stopping when smoke-free for 15 years or unable to undergo curative treatment.
- D
Annual low-dose CT for all adults ages 40–74, regardless of smoking history.
A clinician is considering a preventive service for an asymptomatic patient. The USPSTF assigns the service an I statement. What does that grade mean?
- A
The service is recommended for everyone in the population.
- B
The service should be offered selectively based on individual circumstances.
- C
There is insufficient evidence to assess the balance of benefits and harms.
- D
The service is recommended only for people with symptoms.
An asymptomatic adult has an elevated blood pressure reading during an office visit. What is the appropriate next step, when feasible, before diagnosing hypertension?
- A
Diagnose hypertension based on the elevated office measurement alone.
- B
Confirm the elevated result with measurements outside the clinical setting when feasible.
- C
Wait until the patient develops symptoms before taking another measurement.
- D
Order a screening test for diabetes to confirm the blood pressure result.