AANPCB Health Promotion and Disease Prevention 2

Question 1

A nurse practitioner screens an asymptomatic patient and identifies elevated blood glucose before diagnosis. This represents which level of prevention?

Accepted Answer

Secondary prevention

Answer

Primary prevention

Answer

Tertiary prevention

Answer

Quaternary prevention

Question 2

According to ACC/AHA guidelines, how frequently should blood pressure be reassessed in adults with consistently normal readings (<120/80 mmHg)?

Accepted Answer

Every 2 years

Answer

Every 6 months

Answer

Every year

Answer

Every 3–5 years

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?

Accepted Answer

PCV20 alone

Answer

PPSV23 only

Answer

PCV15 followed by PPSV23

Answer

PCV13 followed by PPSV23 one year later

Question 4

The Healthy People 2030 initiative is primarily structured around which overarching goal?

Accepted Answer

Attaining healthy, thriving lives and well-being free of preventable disease

Answer

Eliminating all communicable diseases by 2030

Answer

Reducing healthcare costs by 50% nationally

Answer

Achieving universal vaccination rates above 95%

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?

Accepted Answer

Fecal immunochemical test (FIT) annually

Answer

Stool DNA test annually

Answer

Guaiac fecal occult blood test every 3 years

Answer

Fecal immunochemical test every 2 years

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?

Accepted Answer

50 years

Answer

40 years

Answer

45 years

Answer

55 years

Question 7

Which pharmacotherapy intervention has the strongest evidence as a first-line option for smoking cessation when used alone?

Accepted Answer

Varenicline (Chantix)

Answer

Nicotine patch monotherapy

Answer

Bupropion SR

Answer

Nicotine gum monotherapy