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D118 Practice
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D118 Practice Test Questions – Study
Guide, Practice Questions & Answers
2026/2027 Update
D118 Practice Test Questions
D118 Practice
– Study
Test
Guide,
Questions
Practice
D118 Practice
–
Questions
Study
Test
Guide,
&Questions
Answers
Practice
–
2026_2027
Questions
Study Guide,
Update.pdf
& Answers
Practice
2026_2027
QuestionsUpdate.pdf
& Answers 2026_2027 Update.pdf
,D118 practice test questions.pdf D118 practice test questions.pdf D118 practice test questions.pdf
1. A 55-year-old male with a 75 pack-year history of smoking presents to the clinic to
establish primary care and discuss age-appropriate screening options for cancer. His pulse
rate is 78/min, blood pressure is 140/80 mmHg, and saturation at room air is 96%. Air entry is
decreased bilaterally with occasional rhonchi and crepitations on chest auscultation. He is
advised by the primary care provider to undergo a low dose CT scan (LDCT) for screening.
Which of the following are the criteria for undergoing this screening test for this patient? *
1 point
A. All adults between ages 55 and 80 years
B. Adults more than 40 years of age with a 20 pack-year smoking history
C. Adults aged 55 to 80 years with a 30 pack-year smoking history
D. Adults less than 60 years of age who are active smokers and have no other risk factors
C. Adults aged 55 to 80 years with a 30 pack-year smoking history
Feedback
A, B, DRationale: All adults aged 55 to 80 years do not meet the criteria for a high-risk
population. As lung cancer screening involves exposure to possible harmful radiation, and
there are potential other risks to screening, identifying a high-risk population is
essential.According to the National Comprehensive Cancer Network (NCCN), there is a
utility in screening patients with a 20 pack-year history of smoking. However,
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,D118 practice test questions.pdf D118 practice test questions.pdf D118 practice test questions.pdf
recommendations are for patients more than 55 years of age with an additional risk factor
such as family history, occupational exposure to carcinogens, or personal history of chronic
obstructive pulmonary disease (COPD).According to the National Lung Screening Trial,
patients aged 55 to 80 years with a 30 pack-year history of smoking who are active smokers
or quit within the last 15 years qualify for annual low-dose CT screening.Patients with a life-
limiting condition should not be screened.
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2. A preventative medicine task force is trying to identify and combat peripheral arterial
disease among the rural population they serve. They seek information regarding a rapid, low
cost, and sensitive tool to detect this disease that can be used at health fairs scheduled to
take place in the rural town centers. Which of the following would be the best screening
tool for this situation? *
1 point
A. Doppler ultrasound
B. 5-minute treadmill test
C. Ankle-brachial pressure index (ABI)
D. Pedal pulse palpation
D. Pedal pulse palpationRationale: In a study of over 18,000 men, the presence of bilateral
dorsalis pedis and posterior tibial pulses ruled out peripheral arterial disease (PAD) with
enough reliability for the authors to conclude it could be used as an appropriate initial
screening tool for PAD.In order for pedal pulse palpation (PPP) to effectively screen for
PAD, if any of the 4 pedal pulses are absent, the patient should be referred to a primary care
provider to receive ABI testing for PAD, which is a more specific tool.ABI testing, which
involves calculating a pressure ratio between the ankle and arm blood pressure, involves
specific training and equipment. Although it is often used as an initial test for PAD in the
office setting with one clinician and patient, at a health fair where rapid low cost, low
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