Preventative Med

A 69-year-old male sees you for a routine evaluation. He has been in good health and takes no medication other than tamsulosin (Flomax) for symptoms of benign prostatic hyperplasia. He has never smoked. His blood pressure is 121/78 mm Hg, pulse rate 72 beats/min, and respiratory rate 18/min. His general physical examination is unremarkable, including cardiac and abdominal examinations. A digital rectal examination reveals mild enlargement of the prostate, without nodules. According to the U.S. Preventive Services Task Force, this patient should be screened for

A 70-year-old male comes to your office for a wellness evaluation. He smoked for many years, but quit 10 years ago. While searching through several health-related websites he read that because of his smoking history he should undergo screening for an abdominal aortic aneurysm. Which one of the following screening tests for abdominal aortic aneurysm is recommended by the U.S. Preventive Services Task Force for this patient?

A 35-year-old female asks you about options for weight loss. She weighs 104 kg (229 lb) and has a BMI of 34 kg/m2. Her health problems include hypertension and depression. According to the U.S. Preventive Services Task Force, which one of the following is the most appropriate initial recommendation for weight-loss management in this patient?

In addition to exercise, which one of the following vitamin supplements is recommended by the U.S. Preventive Services Task Force to help prevent falls in elderly patients living at home?

An asymptomatic 60-year-old male sees you for a health maintenance visit. His past medical history is significant for hypertension and hyperlipidemia. His medications include chlorthalidone, 25 mg daily, and atorvastatin (Lipitor), 20 mg daily. He smoked 2 packs of cigarettes a day for 20 years but quit 5 years ago. The physical examination is normal. Laboratory findings include a normal basic metabolic panel, a cholesterol level of 210 mg/dL, an HDL-cholesterol level of 34 mg/dL, an LDL-cholesterol level of 150 mg/dL, and a triglyceride level of 200 mg/dL. Which one of the following screening tests is recommended by the U.S. Preventive Services Task Force for this patient?

Which of the following study designs provides the highest level of evidence and the least amount of opportunity for bias and systematic error?

A 69-year-old female presents with postmenopausal bleeding. You consider whether to begin your evaluation with transvaginal ultrasonography to assess the thickness of her endometrium. In evaluating the usefulness of this test to either support or exclude a diagnosis of endometrial cancer, the most useful statistic is the

Which one of the following has been consistently identified as the most common cause of medication-related adverse events across health care settings in the United States?

Which one of the following community health programs best fits the definition of secondary prevention?

For the past two years, a 77-year-old man is more forgetful. He completely disagrees with this observation, but his daughter calls you concerned with her father’s progressive memory loss. She states that her “stubborn” dad has become “more edgy” around the family, which only seems to occur at the end of the day. She adds that her dad has difficulties with remembering the names of the grandchildren. You schedule the patient and his daughter for an appointment. Which of the following tests will you most likely administer during this appointment?