APEA Health Promotion and Disease Prevention 2

Question 1

According to USPSTF recommendations, which adults should be screened for prediabetes and type 2 diabetes?

Accepted Answer

Overweight or obese adults aged 35 to 70 — screening every 3 years if normal, or more frequently with risk factors

Answer

USPSTF recommends screening for prediabetes and type 2 diabetes in overweight or obese adults aged 35-70. Screening every 3 years is appropriate for normal results.

Question 2

A 30-year-old male patient asks about testicular cancer screening. According to USPSTF guidelines, the recommended approach is:

Accepted Answer

USPSTF recommends against routine screening for testicular cancer in asymptomatic adolescent and adult males

Answer

The USPSTF recommends against routine screening for testicular cancer in asymptomatic adolescent and adult males (Grade D), as harms outweigh benefits given the high cure rate even for detected tumors.

Question 3

In primary prevention counseling, which lifestyle modification has the strongest evidence for reducing all-cause cardiovascular mortality in adults?

Accepted Answer

Regular aerobic exercise of at least 150 minutes of moderate-intensity activity per week

Answer

Regular aerobic exercise meeting AHA guidelines of at least 150 minutes per week of moderate intensity has the strongest evidence base for reducing cardiovascular mortality through multiple mechanisms.

Question 4

USPSTF recommends screening for unhealthy alcohol use in adults. Which validated screening tool is most commonly used in primary care?

Accepted Answer

AUDIT-C (3-item Alcohol Use Disorders Identification Test Consumption) with full AUDIT-10 for positive screens

Answer

The AUDIT-C is the recommended brief alcohol screening tool for primary care, consisting of 3 questions. A positive screen triggers the full 10-item AUDIT for comprehensive assessment.

Question 5

A nurse practitioner is counseling a 28-year-old woman of childbearing age about folic acid supplementation. The USPSTF recommends:

Accepted Answer

400 to 800 mcg of folic acid daily for all women planning or capable of becoming pregnant to prevent neural tube defects

Answer

USPSTF recommends 400-800 mcg of folic acid daily for all women who are planning or capable of pregnancy (Grade A). Supplementation should begin before conception since the neural tube closes by day 28.

APEA - Advanced Practice Education Associates Practice Test

APEA - Advanced Practice Education Associates Practice Test

APEA Health Promotion and Disease Prevention 2