Adult-Gerontology Primary Care Nurse Practitioner Exam Health Promotion & Disease Prevention 2

Question 1

Which validated screening tool is most commonly recommended by the USPSTF for depression screening in older adults in the primary care setting?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

The PHQ-9 is the USPSTF-recommended, widely validated tool for depression screening in primary care across adult populations, including older adults.

Question 2

The USPSTF recommends one-time abdominal aortic aneurysm (AAA) screening with abdominal ultrasound for which specific population?

Accepted Answer

Men aged 65–75 who have ever smoked

Answer

USPSTF recommends one-time AAA screening ultrasound only for men aged 65–75 who have a history of ever smoking (≥100 cigarettes lifetime).

Question 3

What is the USPSTF's current stance on routine cognitive impairment screening in older adults who have no signs or symptoms of cognitive decline?

Accepted Answer

The current evidence is insufficient to recommend for or against routine screening

Answer

As of the most recent USPSTF statement, the evidence is insufficient (I statement) to assess the balance of benefits and harms of routine cognitive impairment screening in asymptomatic older adults.

Question 4

Which herpes zoster vaccine is preferred by ACIP for adults aged 50 and older, and what is the recommended schedule?

Accepted Answer

Shingrix (recombinant subunit) — two doses given 2–6 months apart

Answer

Shingrix (RZV) is the ACIP-preferred herpes zoster vaccine for adults 50 and older, administered as two doses separated by 2–6 months due to its superior efficacy and durability compared to Zostavax.

Question 5

Regarding PSA-based prostate cancer screening, which statement best reflects USPSTF guidance for men aged 55–69 years?

Accepted Answer

PSA screening should be offered based on individualized decision-making after discussing benefits and harms

Answer

USPSTF (2018) gives a 'C' recommendation for PSA screening in men aged 55–69, meaning individual decision-making after clinician-patient discussion of benefits and harms is appropriate.

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Practice Test

Adult-Gerontology Primary Care Nurse Practitioner Exam Health Promotion & Disease Prevention 2