APEA Health Promotion and Disease Prevention

Question 1

According to USPSTF recommendations, which adults should receive aspirin therapy for primary prevention of cardiovascular disease?

Accepted Answer

Adults aged 40 to 59 with 10% or greater 10-year CVD risk where benefit-harm balance is individualized; aspirin is NOT recommended for primary prevention in adults 60 and older

Answer

The USPSTF 2022 guidelines recommend individualized aspirin use for primary prevention only in adults 40-59 with 10% or greater 10-year CVD risk. For adults 60 and older, primary prevention aspirin is not recommended due to increased bleeding risk outweighing benefit.

Question 2

A 45-year-old patient with a 30 pack-year smoking history and no symptoms asks about lung cancer screening. Per USPSTF recommendations, what is the appropriate recommendation?

Accepted Answer

Annual low-dose CT scan if aged 50 to 80 with 20 or more pack-year history who currently smokes or quit within the past 15 years

Answer

USPSTF recommends annual LDCT for lung cancer screening in adults aged 50-80 with 20 or more pack-year history who currently smoke or quit within the past 15 years (Grade B). This patient is 45 and not yet eligible by age criteria.

Question 3

A 55-year-old woman with no family history asks about colorectal cancer screening options. Which of the following represents a current USPSTF-approved screening strategy?

Accepted Answer

Colonoscopy every 10 years, annual high-sensitivity FOBT, or FIT-DNA test every 1 to 3 years — multiple modalities are acceptable

Answer

USPSTF recommends colorectal cancer screening for all average-risk adults 45-75 using multiple acceptable modalities: colonoscopy every 10 years, annual high-sensitivity FOBT or FIT, sigmoidoscopy every 5 years, or FIT-DNA every 1-3 years.

Question 4

A 62-year-old male with a 40 pack-year smoking history asks about abdominal aortic aneurysm screening. USPSTF recommends AAA screening for which group?

Accepted Answer

Men aged 65 to 75 who have ever smoked (100 or more cigarettes lifetime) — one-time abdominal ultrasound

Answer

USPSTF recommends one-time abdominal aortic ultrasound screening for men aged 65-75 who have ever smoked (100 or more cigarettes lifetime). Screening is not recommended for women or never-smokers in this age group.

Question 5

Which vaccine is recommended by the ACIP for all adults 65 and older to prevent pneumococcal disease, per updated 2021 recommendations?

Accepted Answer

PCV15 followed by PPSV23, or PCV20 alone — replacing the previous PCV13 strategy

Answer

Since 2021, ACIP recommends that adults 65 and older who have not previously received a pneumococcal conjugate vaccine receive PCV15 followed by PPSV23 one year later, or PCV20 alone — replacing the previous PCV13/PPSV23 strategy.

APEA - Advanced Practice Education Associates Practice Test

APEA - Advanced Practice Education Associates Practice Test

APEA Health Promotion and Disease Prevention