CURRENT Medical Diagnosis and
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Part 1 — Disease Prevention & Health Promotion (5 items)
Item 1
Reference
Ch. 1 — Disease Prevention & Health Promotion — Overview.
Google Books
Question Stem
A 64-year-old man with well-controlled type 2 diabetes and a
40-pack-year smoking history stopped smoking 4 years ago. He
asks whether low-dose aspirin should be started for primary
,prevention of cardiovascular disease. Which action best follows
CMDT prevention guidance?
A. Start low-dose aspirin now because diabetes alone mandates
aspirin.
B. Recommend aspirin only after individualized assessment of
10-year ASCVD risk and bleeding risk.
C. Defer aspirin and recommend instead immediate statin
therapy regardless of risk.
D. Start aspirin and clopidogrel combination for primary
prevention because of his smoking history.
Correct Answer
B
Rationales
Correct (B): CMDT emphasizes that low-dose aspirin for primary
prevention is an individualized decision weighing cardiovascular
risk against bleeding risk; routine automatic use for all adults
with diabetes is not recommended. Google Books
A (Incorrect): Diabetes increases ASCVD risk but is not an
absolute indication for aspirin; bleeding risk must be
considered. Google Books
C (Incorrect): Statin therapy is often appropriate based on
ASCVD risk, but it does not obviate individualized aspirin
decision-making. Google Books
D (Incorrect): Dual antiplatelet therapy is indicated for certain
proven cardiovascular events, not for primary prevention; it
increases bleeding risk. Google Books
,Teaching Point
Aspirin for primary prevention requires individual ASCVD vs
bleeding risk assessment.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1. Google Books
Item 2
Reference
Ch. 1 — Disease Prevention & Health Promotion —
Immunizations. Google Books
Question Stem
A 71-year-old woman with well-controlled hypertension asks
which vaccine is most important to reduce risk of severe
influenza complications this season. According to CMDT
immunization guidance for older adults, which is best?
A. Live attenuated intranasal influenza vaccine (single dose
now).
B. High-dose or enhanced inactivated influenza vaccine
annually.
C. No vaccine if she previously received influenza vaccine last
year.
D. Only pneumococcal vaccines are important at her age;
influenza is optional.
, Correct Answer
B
Rationales
Correct (B): CMDT recommends annual inactivated influenza
vaccination for older adults and notes high-dose or enhanced
formulations are preferred to improve protection in those ≥65.
Google Books
A (Incorrect): Live intranasal influenza vaccine is generally not
recommended for older adults. Google Books
C (Incorrect): Prior vaccination does not eliminate need for
annual vaccination because strains and immunity change yearly.
Google Books
D (Incorrect): Pneumococcal vaccination is also important, but
influenza vaccination remains strongly recommended annually.
Google Books
Teaching Point
Give older adults annual inactivated influenza vaccine; high-
dose/enhanced formulations preferred ≥65.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1. Google Books
Item 3
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Part 1 — Disease Prevention & Health Promotion (5 items)
Item 1
Reference
Ch. 1 — Disease Prevention & Health Promotion — Overview.
Google Books
Question Stem
A 64-year-old man with well-controlled type 2 diabetes and a
40-pack-year smoking history stopped smoking 4 years ago. He
asks whether low-dose aspirin should be started for primary
,prevention of cardiovascular disease. Which action best follows
CMDT prevention guidance?
A. Start low-dose aspirin now because diabetes alone mandates
aspirin.
B. Recommend aspirin only after individualized assessment of
10-year ASCVD risk and bleeding risk.
C. Defer aspirin and recommend instead immediate statin
therapy regardless of risk.
D. Start aspirin and clopidogrel combination for primary
prevention because of his smoking history.
Correct Answer
B
Rationales
Correct (B): CMDT emphasizes that low-dose aspirin for primary
prevention is an individualized decision weighing cardiovascular
risk against bleeding risk; routine automatic use for all adults
with diabetes is not recommended. Google Books
A (Incorrect): Diabetes increases ASCVD risk but is not an
absolute indication for aspirin; bleeding risk must be
considered. Google Books
C (Incorrect): Statin therapy is often appropriate based on
ASCVD risk, but it does not obviate individualized aspirin
decision-making. Google Books
D (Incorrect): Dual antiplatelet therapy is indicated for certain
proven cardiovascular events, not for primary prevention; it
increases bleeding risk. Google Books
,Teaching Point
Aspirin for primary prevention requires individual ASCVD vs
bleeding risk assessment.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1. Google Books
Item 2
Reference
Ch. 1 — Disease Prevention & Health Promotion —
Immunizations. Google Books
Question Stem
A 71-year-old woman with well-controlled hypertension asks
which vaccine is most important to reduce risk of severe
influenza complications this season. According to CMDT
immunization guidance for older adults, which is best?
A. Live attenuated intranasal influenza vaccine (single dose
now).
B. High-dose or enhanced inactivated influenza vaccine
annually.
C. No vaccine if she previously received influenza vaccine last
year.
D. Only pneumococcal vaccines are important at her age;
influenza is optional.
, Correct Answer
B
Rationales
Correct (B): CMDT recommends annual inactivated influenza
vaccination for older adults and notes high-dose or enhanced
formulations are preferred to improve protection in those ≥65.
Google Books
A (Incorrect): Live intranasal influenza vaccine is generally not
recommended for older adults. Google Books
C (Incorrect): Prior vaccination does not eliminate need for
annual vaccination because strains and immunity change yearly.
Google Books
D (Incorrect): Pneumococcal vaccination is also important, but
influenza vaccination remains strongly recommended annually.
Google Books
Teaching Point
Give older adults annual inactivated influenza vaccine; high-
dose/enhanced formulations preferred ≥65.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1. Google Books
Item 3
