Section 1: Health MaintenaNSG 5546
Primary Care II Exam 3 2026-2027 LATEST
UPDATED VERSION 100 QUESTIONS AND
ANSWERS JUST RELE
nce & Disease Prevention (Questions 1–15)
1. Which of the following is considered a primary prevention strategy in adult
primary care?
A. Annual mammography for women aged 50–74
B. Immunization against influenza
C. Colonoscopy every 10 years starting at age 45
D. Annual low-dose CT screening for lung cancer in high-risk smokers
B. Immunization against influenza
Immunization prevents disease before it occurs, which is the definition of
primary prevention. Mammography, colonoscopy, and lung cancer screening are
secondary prevention (early detection of existing disease).
2. A 52-year-old woman with no risk factors asks about cervical cancer
screening. According to current guidelines, which is the recommended
approach?
A. Pap smear alone every year
B. Pap smear alone every 3 years
C. Pap smear + HPV co-testing every 5 years
D. No screening needed after age 50
C. Pap smear + HPV co-testing every 5 years
, For women aged 30–65, co-testing with cytology and HPV every 5 years is the
preferred strategy. Annual screening is no longer recommended for average-risk
women.
3. The U.S. Preventive Services Task Force (USPSTF) recommends screening for
type 2 diabetes in adults aged 35–70 who are overweight or obese. Which test is
preferred for screening?
A. Random plasma glucose
B. Fasting plasma glucose
C. Oral glucose tolerance test
D. Urine glucose dipstick
B. Fasting plasma glucose
Fasting plasma glucose is the preferred screening test for type 2 diabetes. It is
convenient, reproducible, and has good sensitivity and specificity. Random
glucose and urine dipstick are not recommended for screening.
4. A 65-year-old man with a 30-pack-year smoking history is eligible for lung
cancer screening. Which modality is recommended?
A. Chest X-ray annually
B. Sputum cytology annually
C. Low-dose computed tomography annually
D. PET-CT annually
C. Low-dose computed tomography annually
The USPSTF recommends annual screening with low-dose CT for adults aged
50–80 with a 20-pack-year history who currently smoke or have quit within the
past 15 years.
,5. Which of the following is a secondary prevention strategy?
A. Smoking cessation counseling
B. Hepatitis B vaccination
C. Annual fecal immunochemical test (FIT) for colorectal cancer
D. Teaching safe sex practices
C. Annual fecal immunochemical test (FIT) for colorectal cancer
FIT is a screening test that detects early colorectal cancer or precancerous
polyps, making it secondary prevention. Smoking cessation, vaccination, and safe
sex education are primary prevention.
6. A 45-year-old woman asks about breast cancer screening. She has no family
history and no genetic mutations. According to the USPSTF, when should she
begin mammography?
A. Age 35
B. Age 40
C. Age 45
D. Age 50
B. Age 40
The USPSTF recommends biennial mammography screening starting at age 40
for average-risk women. Screening may continue until age 74.
7. Which vaccine is recommended for all adults aged 65 and older?
A. Meningococcal vaccine
B. Pneumococcal vaccine
C. Hepatitis A vaccine
D. Yellow fever vaccine
B. Pneumococcal vaccine
, Pneumococcal vaccination is recommended for all adults aged 65 and older.
Meningococcal, hepatitis A, and yellow fever vaccines are indicated only for
specific risk groups.
8. A 55-year-old man with hypertension and a 20-pack-year smoking history asks
about abdominal aortic aneurysm (AAA) screening. What is the USPSTF
recommendation?
A. Screen all men over 50 annually
B. One-time ultrasound screening for men aged 65–75 who have ever smoked
C. Screen only if symptoms are present
D. No screening is recommended
B. One-time ultrasound screening for men aged 65–75 who have ever
smoked
The USPSTF recommends one-time ultrasound screening for AAA in men aged
65–75 who have ever smoked. Screening is not recommended for women or
never-smokers.
9. Which of the following is a tertiary prevention strategy?
A. Influenza vaccination
B. Cardiac rehabilitation after myocardial infarction
C. Blood pressure screening
D. Smoking prevention education
B. Cardiac rehabilitation after myocardial infarction
Tertiary prevention focuses on rehabilitation and preventing complications in
patients with established disease. Cardiac rehab after MI is a classic example.
Primary Care II Exam 3 2026-2027 LATEST
UPDATED VERSION 100 QUESTIONS AND
ANSWERS JUST RELE
nce & Disease Prevention (Questions 1–15)
1. Which of the following is considered a primary prevention strategy in adult
primary care?
A. Annual mammography for women aged 50–74
B. Immunization against influenza
C. Colonoscopy every 10 years starting at age 45
D. Annual low-dose CT screening for lung cancer in high-risk smokers
B. Immunization against influenza
Immunization prevents disease before it occurs, which is the definition of
primary prevention. Mammography, colonoscopy, and lung cancer screening are
secondary prevention (early detection of existing disease).
2. A 52-year-old woman with no risk factors asks about cervical cancer
screening. According to current guidelines, which is the recommended
approach?
A. Pap smear alone every year
B. Pap smear alone every 3 years
C. Pap smear + HPV co-testing every 5 years
D. No screening needed after age 50
C. Pap smear + HPV co-testing every 5 years
, For women aged 30–65, co-testing with cytology and HPV every 5 years is the
preferred strategy. Annual screening is no longer recommended for average-risk
women.
3. The U.S. Preventive Services Task Force (USPSTF) recommends screening for
type 2 diabetes in adults aged 35–70 who are overweight or obese. Which test is
preferred for screening?
A. Random plasma glucose
B. Fasting plasma glucose
C. Oral glucose tolerance test
D. Urine glucose dipstick
B. Fasting plasma glucose
Fasting plasma glucose is the preferred screening test for type 2 diabetes. It is
convenient, reproducible, and has good sensitivity and specificity. Random
glucose and urine dipstick are not recommended for screening.
4. A 65-year-old man with a 30-pack-year smoking history is eligible for lung
cancer screening. Which modality is recommended?
A. Chest X-ray annually
B. Sputum cytology annually
C. Low-dose computed tomography annually
D. PET-CT annually
C. Low-dose computed tomography annually
The USPSTF recommends annual screening with low-dose CT for adults aged
50–80 with a 20-pack-year history who currently smoke or have quit within the
past 15 years.
,5. Which of the following is a secondary prevention strategy?
A. Smoking cessation counseling
B. Hepatitis B vaccination
C. Annual fecal immunochemical test (FIT) for colorectal cancer
D. Teaching safe sex practices
C. Annual fecal immunochemical test (FIT) for colorectal cancer
FIT is a screening test that detects early colorectal cancer or precancerous
polyps, making it secondary prevention. Smoking cessation, vaccination, and safe
sex education are primary prevention.
6. A 45-year-old woman asks about breast cancer screening. She has no family
history and no genetic mutations. According to the USPSTF, when should she
begin mammography?
A. Age 35
B. Age 40
C. Age 45
D. Age 50
B. Age 40
The USPSTF recommends biennial mammography screening starting at age 40
for average-risk women. Screening may continue until age 74.
7. Which vaccine is recommended for all adults aged 65 and older?
A. Meningococcal vaccine
B. Pneumococcal vaccine
C. Hepatitis A vaccine
D. Yellow fever vaccine
B. Pneumococcal vaccine
, Pneumococcal vaccination is recommended for all adults aged 65 and older.
Meningococcal, hepatitis A, and yellow fever vaccines are indicated only for
specific risk groups.
8. A 55-year-old man with hypertension and a 20-pack-year smoking history asks
about abdominal aortic aneurysm (AAA) screening. What is the USPSTF
recommendation?
A. Screen all men over 50 annually
B. One-time ultrasound screening for men aged 65–75 who have ever smoked
C. Screen only if symptoms are present
D. No screening is recommended
B. One-time ultrasound screening for men aged 65–75 who have ever
smoked
The USPSTF recommends one-time ultrasound screening for AAA in men aged
65–75 who have ever smoked. Screening is not recommended for women or
never-smokers.
9. Which of the following is a tertiary prevention strategy?
A. Influenza vaccination
B. Cardiac rehabilitation after myocardial infarction
C. Blood pressure screening
D. Smoking prevention education
B. Cardiac rehabilitation after myocardial infarction
Tertiary prevention focuses on rehabilitation and preventing complications in
patients with established disease. Cardiac rehab after MI is a classic example.
