Health Promotion & Disease Prevention Flashcards

According to current ACIP recommendations, which pneumococcal vaccination strategy is appropriate for a 65-year-old adult who has never received any pneumococcal vaccine?

Answer: PCV20 alone OR PCV15 followed by PPSV23 at least one year later

Current ACIP guidelines recommend either PCV20 alone or PCV15 followed by PPSV23 (≥1 year later) for pneumococcal-naive adults aged 65 and older.

The USPSTF recommends lung cancer screening with annual low-dose CT (LDCT) for which population?

Answer: Adults aged 50–80 with a ≥20 pack-year history who currently smoke or quit within the past 15 years

The 2021 USPSTF update expanded lung cancer screening to adults aged 50–80 years with a ≥20 pack-year smoking history who currently smoke or have quit within the past 15 years.

Per USPSTF guidelines, how often should mammography be performed for average-risk women aged 50–74?

Answer: Every 2 years

USPSTF recommends biennial (every 2 years) mammography screening for average-risk women aged 50–74 years.

A 65-year-old woman presents for a well visit. According to USPSTF guidelines, bone mineral density (DEXA) screening for osteoporosis should be recommended:

Answer: At age 65 for all women regardless of risk factors

USPSTF recommends bone density screening with DEXA for all women aged 65 and older, regardless of additional risk factors.

The 2017 ACC/AHA hypertension guidelines recommend a blood pressure target of less than how many mmHg for most adults aged 65 and older, including those with stable coronary artery disease?

Answer: 130/80 mmHg

The 2017 ACC/AHA guidelines set a target of <130/80 mmHg for most adults, including older adults with stable cardiovascular conditions.

Which of the following falls prevention interventions has the strongest evidence for reducing falls in community-dwelling older adults?

Answer: Multifactorial assessment and individualized intervention including exercise programs

Multifactorial falls prevention programs that include individualized risk assessment combined with exercise (particularly balance and strength training) have the strongest evidence for reducing falls in community-dwelling older adults.

According to USPSTF recommendations, colorectal cancer screening for average-risk adults aged 50–75 years may be accomplished by which method?

Answer: Colonoscopy every 10 years, annual high-sensitivity stool-based tests, or sigmoidoscopy every 5 years

USPSTF endorses multiple equivalent colorectal cancer screening strategies for average-risk adults 50–75, including colonoscopy every 10 years, annual stool-based tests, or sigmoidoscopy every 5 years.