AANP Health Promotion and Disease Prevention

Question 1

According to USPSTF recommendations, at what age should average-risk adults begin routine colorectal cancer screening?

Accepted Answer

45

Answer

The USPSTF recommends starting colorectal cancer screening at age 45 for average-risk adults and continuing through age 75.

Question 2

A 35-year-old average-risk woman asks about cervical cancer screening. Which option is an accepted USPSTF-recommended strategy?

Accepted Answer

Primary high-risk HPV testing every 5 years

Answer

For women ages 30-65, the USPSTF supports cytology every 3 years, primary hrHPV testing every 5 years, or cotesting every 5 years. Annual screening and 10-year intervals are not recommended.

Question 3

An immunocompetent 55-year-old with no prior zoster vaccination asks about the recombinant zoster vaccine (Shingrix). What is the correct recommendation?

Accepted Answer

Two doses, 2 to 6 months apart

Answer

The CDC recommends two doses of recombinant zoster vaccine, given 2 to 6 months apart, for adults 50 and older, including those who previously had shingles.

Question 4

Which intervention is an example of primary prevention?

Accepted Answer

Administering the HPV vaccine to an adolescent

Answer

Primary prevention keeps disease from occurring, and immunization is the classic example. Screening is secondary prevention, and rehabilitation is tertiary prevention.

Question 5

Which patient meets USPSTF criteria for annual low-dose CT lung cancer screening?

Accepted Answer

62-year-old with a 25 pack-year history who quit 5 years ago

Answer

USPSTF criteria are age 50-80, at least a 20 pack-year history, and current smoking or quitting within the past 15 years. Only the 62-year-old meets all three.

AANP - American Association of Nurse Practitioners Practice Test

AANP - American Association of Nurse Practitioners Practice Test

AANP Health Promotion and Disease Prevention