AANPCB Health Promotion and Disease Prevention 2 — Questions and Answers
Question 1: A nurse practitioner screens an asymptomatic patient and identifies elevated blood glucose before diagnosis. This represents which level of prevention?
- Primary prevention
- Secondary prevention (Correct answer)
- Tertiary prevention
- Quaternary prevention
Correct answer: Secondary prevention
Secondary prevention involves screening to detect disease in its early, presymptomatic stage to allow earlier treatment and better outcomes.
Question 2: According to ACC/AHA guidelines, how frequently should blood pressure be reassessed in adults with consistently normal readings (<120/80 mmHg)?
- Every 6 months
- Every year
- Every 2 years (Correct answer)
- Every 3–5 years
Correct answer: Every 2 years
Adults with normal blood pressure (<120/80 mmHg) should have it reassessed at least every 2 years per ACC/AHA guidelines.
Question 3: Which pneumococcal vaccine formulation is recommended as a single dose for immunocompetent adults aged 65 and older who have not previously been vaccinated?
- PPSV23 only
- PCV15 followed by PPSV23
- PCV20 alone (Correct answer)
- PCV13 followed by PPSV23 one year later
Correct answer: PCV20 alone
Current ACIP guidelines recommend PCV20 alone as a single dose for adults ≥65 who have not previously received pneumococcal vaccine.
Question 4: The Healthy People 2030 initiative is primarily structured around which overarching goal?
- Eliminating all communicable diseases by 2030
- Attaining healthy, thriving lives and well-being free of preventable disease (Correct answer)
- Reducing healthcare costs by 50% nationally
- Achieving universal vaccination rates above 95%
Correct answer: Attaining healthy, thriving lives and well-being free of preventable disease
Healthy People 2030's overarching goal is to attain healthy, thriving lives and well-being, free of preventable disease, disability, injury, and premature death.
Question 5: A 50-year-old patient with average colorectal cancer risk asks about screening options. Which of the following is an acceptable stool-based screening test interval?
- Fecal immunochemical test (FIT) annually (Correct answer)
- Stool DNA test annually
- Guaiac fecal occult blood test every 3 years
- Fecal immunochemical test every 2 years
Correct answer: Fecal immunochemical test (FIT) annually
Annual FIT (fecal immunochemical test) is a recommended stool-based colorectal cancer screening option for average-risk adults per USPSTF guidelines.
Question 6: According to American Cancer Society guidelines, at what age should men at average risk have a discussion with their provider about prostate cancer screening?
- 40 years
- 45 years
- 50 years (Correct answer)
- 55 years
Correct answer: 50 years
The ACS recommends that average-risk men discuss prostate cancer screening with their provider at age 50.
Question 7: Which pharmacotherapy intervention has the strongest evidence as a first-line option for smoking cessation when used alone?
- Nicotine patch monotherapy
- Bupropion SR
- Varenicline (Chantix) (Correct answer)
- Nicotine gum monotherapy
Correct answer: Varenicline (Chantix)
Varenicline has the highest cessation rates of any single pharmacotherapy agent and is considered first-line for smoking cessation.
AANPCB Health Promotion and Disease Prevention 2
A nurse practitioner screens an asymptomatic patient and identifies elevated blood glucose before diagnosis.
This represents which level of prevention?