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
Ch. 1 — Disease Prevention & Health Promotion (Questions 1–
5)
1)
Reference
Ch. 1 — Disease Prevention & Health Promotion
,Question Stem
A 52-year-old woman with well-controlled hypertension asks
whether to start a daily low-dose aspirin for primary prevention
of cardiovascular disease. Which approach best reflects
evidence-based prevention counseling?
Options
A. Recommend daily aspirin because age >50 reduces future MI
risk for most adults.
B. Recommend aspirin only if she has ≥10% 10-year
cardiovascular risk after discussing bleeding risks.
C. Advise against aspirin because it increases bleeding risk and
has no role in primary prevention for any age.
D. Start aspirin and add a proton pump inhibitor to prevent GI
bleeding.
Correct Answer
B
Rationales
• Correct (B): CMDT emphasizes individualized, risk-based
shared decision-making for aspirin in primary prevention
— weigh absolute CV risk against bleeding risk and patient
preferences. accessmedicine.mhmedical.com
• A (incorrect): Age alone is insufficient; benefit depends on
calculated 10-year atherosclerotic risk and bleeding risk.
, • C (incorrect): Aspirin is not universally recommended
against — it may benefit selected higher-risk patients after
shared decision-making.
• D (incorrect): Adding a PPI is not routine justification for
aspirin initiation; PPI reduces GI bleed risk but does not
change the core risk–benefit decision.
Teaching Point
Use individualized risk assessment and shared decision-making
for aspirin in primary prevention.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
2)
Reference
Ch. 1 — Disease Prevention & Health Promotion
Question Stem
A 40-year-old man with no symptoms asks which cancer
screening tests he should start. Which single screening
recommendation is most appropriate to discuss first?
Options
A. Annual low-dose CT scan for lung cancer.
B. Colon cancer screening initiation by discussion of methods
, (stool vs colonoscopy).
C. Annual PSA testing for prostate cancer beginning now.
D. Whole-body MRI for occult malignancy screening.
Correct Answer
B
Rationales
• Correct (B): CMDT recommends offering colorectal cancer
screening to average-risk adults starting at guideline ages
(and discussing available modalities); initiating that
discussion is priority in preventive care.
books.google.com+1
• A (incorrect): Low-dose CT is recommended only for
specific high-risk smokers, not universally for all 40-year-
olds.
• C (incorrect): Routine PSA screening requires individualized
discussion and is not universally indicated for all men
beginning at 40.
• D (incorrect): Whole-body MRI is not recommended as a
screening modality for asymptomatic average-risk adults.
Teaching Point
Prioritize guideline-based, risk-stratified cancer screening
conversations (e.g., colorectal screening).
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Ch. 1 — Disease Prevention & Health Promotion (Questions 1–
5)
1)
Reference
Ch. 1 — Disease Prevention & Health Promotion
,Question Stem
A 52-year-old woman with well-controlled hypertension asks
whether to start a daily low-dose aspirin for primary prevention
of cardiovascular disease. Which approach best reflects
evidence-based prevention counseling?
Options
A. Recommend daily aspirin because age >50 reduces future MI
risk for most adults.
B. Recommend aspirin only if she has ≥10% 10-year
cardiovascular risk after discussing bleeding risks.
C. Advise against aspirin because it increases bleeding risk and
has no role in primary prevention for any age.
D. Start aspirin and add a proton pump inhibitor to prevent GI
bleeding.
Correct Answer
B
Rationales
• Correct (B): CMDT emphasizes individualized, risk-based
shared decision-making for aspirin in primary prevention
— weigh absolute CV risk against bleeding risk and patient
preferences. accessmedicine.mhmedical.com
• A (incorrect): Age alone is insufficient; benefit depends on
calculated 10-year atherosclerotic risk and bleeding risk.
, • C (incorrect): Aspirin is not universally recommended
against — it may benefit selected higher-risk patients after
shared decision-making.
• D (incorrect): Adding a PPI is not routine justification for
aspirin initiation; PPI reduces GI bleed risk but does not
change the core risk–benefit decision.
Teaching Point
Use individualized risk assessment and shared decision-making
for aspirin in primary prevention.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
2)
Reference
Ch. 1 — Disease Prevention & Health Promotion
Question Stem
A 40-year-old man with no symptoms asks which cancer
screening tests he should start. Which single screening
recommendation is most appropriate to discuss first?
Options
A. Annual low-dose CT scan for lung cancer.
B. Colon cancer screening initiation by discussion of methods
, (stool vs colonoscopy).
C. Annual PSA testing for prostate cancer beginning now.
D. Whole-body MRI for occult malignancy screening.
Correct Answer
B
Rationales
• Correct (B): CMDT recommends offering colorectal cancer
screening to average-risk adults starting at guideline ages
(and discussing available modalities); initiating that
discussion is priority in preventive care.
books.google.com+1
• A (incorrect): Low-dose CT is recommended only for
specific high-risk smokers, not universally for all 40-year-
olds.
• C (incorrect): Routine PSA screening requires individualized
discussion and is not universally indicated for all men
beginning at 40.
• D (incorrect): Whole-body MRI is not recommended as a
screening modality for asymptomatic average-risk adults.
Teaching Point
Prioritize guideline-based, risk-stratified cancer screening
conversations (e.g., colorectal screening).
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
