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
1–5. Disease Prevention & Health Promotion
Q1
Reference
Ch. Disease Prevention & Health Promotion — Adult
Immunization: Influenza and Pneumococcal Vaccines
,Question Stem
A 72-year-old man with COPD presents for routine care in
October. He previously received the pneumococcal
polysaccharide vaccine (PPSV23) at age 65 and has not received
any influenza vaccine this season. Which recommendation best
aligns with current preventive guidance for this patient?
Options
A. Administer high-dose influenza vaccine now and repeat
PPSV23 immediately.
B. Administer high-dose influenza vaccine now and no
additional pneumococcal vaccination.
C. Defer influenza vaccine until spring and give PPSV23 booster
now.
D. Give standard-dose influenza vaccine only; no further
pneumococcal vaccines.
Correct Answer
B
Rationales
• Correct (B): Older adults with chronic lung disease should
receive the high-dose influenza vaccine annually; a PPSV23
given at 65 does not routinely require immediate repeat
vaccination.
• A (incorrect): Repeating PPSV23 immediately after prior
vaccination at age 65 is not indicated; booster timing
depends on earlier vaccine type and specific indications.
, • C (incorrect): Influenza vaccine should be given now for
seasonal protection; delaying reduces benefit.
• D (incorrect): High-dose influenza vaccine is preferred in
older adults for better immunogenicity.
Teaching Point
Give high-dose influenza annually for older adults;
pneumococcal boosters are indicated selectively.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. Disease Prevention & Health
Promotion — Adult Immunization: Influenza and Pneumococcal
Vaccines.
Q2
Reference
Ch. Disease Prevention & Health Promotion — Screening for
Colorectal Cancer: Modalities and Timing
Question Stem
A 56-year-old woman with no family history of colorectal cancer
asks which screening strategy is best. She prefers a noninvasive
test but will adhere to follow-up colonoscopy if indicated.
Which screening approach best balances sensitivity and patient
preference?
, Options
A. No screening until age 60 given low risk.
B. Annual fecal immunochemical test (FIT) with colonoscopy for
any positive test.
C. CT colonography every 10 years without follow-up.
D. Flexible sigmoidoscopy every 5 years as sole screening.
Correct Answer
B
Rationales
• Correct (B): Annual FIT is an evidence-based, noninvasive
option with high adherence; positive FIT should prompt
diagnostic colonoscopy.
• A (incorrect): Screening should begin at age 45–50
depending on guideline; deferring to 60 misses prevention
opportunities.
• C (incorrect): CT colonography every 10 years is an option
but still requires colonoscopy if lesions found; also less
acceptable to some patients.
• D (incorrect): Flexible sigmoidoscopy alone misses
proximal lesions and is less sensitive than colonoscopy or
FIT plus colonoscopy strategy.
Teaching Point
FIT annually with colonoscopy for positives balances
noninvasiveness and diagnostic accuracy.
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
1–5. Disease Prevention & Health Promotion
Q1
Reference
Ch. Disease Prevention & Health Promotion — Adult
Immunization: Influenza and Pneumococcal Vaccines
,Question Stem
A 72-year-old man with COPD presents for routine care in
October. He previously received the pneumococcal
polysaccharide vaccine (PPSV23) at age 65 and has not received
any influenza vaccine this season. Which recommendation best
aligns with current preventive guidance for this patient?
Options
A. Administer high-dose influenza vaccine now and repeat
PPSV23 immediately.
B. Administer high-dose influenza vaccine now and no
additional pneumococcal vaccination.
C. Defer influenza vaccine until spring and give PPSV23 booster
now.
D. Give standard-dose influenza vaccine only; no further
pneumococcal vaccines.
Correct Answer
B
Rationales
• Correct (B): Older adults with chronic lung disease should
receive the high-dose influenza vaccine annually; a PPSV23
given at 65 does not routinely require immediate repeat
vaccination.
• A (incorrect): Repeating PPSV23 immediately after prior
vaccination at age 65 is not indicated; booster timing
depends on earlier vaccine type and specific indications.
, • C (incorrect): Influenza vaccine should be given now for
seasonal protection; delaying reduces benefit.
• D (incorrect): High-dose influenza vaccine is preferred in
older adults for better immunogenicity.
Teaching Point
Give high-dose influenza annually for older adults;
pneumococcal boosters are indicated selectively.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. Disease Prevention & Health
Promotion — Adult Immunization: Influenza and Pneumococcal
Vaccines.
Q2
Reference
Ch. Disease Prevention & Health Promotion — Screening for
Colorectal Cancer: Modalities and Timing
Question Stem
A 56-year-old woman with no family history of colorectal cancer
asks which screening strategy is best. She prefers a noninvasive
test but will adhere to follow-up colonoscopy if indicated.
Which screening approach best balances sensitivity and patient
preference?
, Options
A. No screening until age 60 given low risk.
B. Annual fecal immunochemical test (FIT) with colonoscopy for
any positive test.
C. CT colonography every 10 years without follow-up.
D. Flexible sigmoidoscopy every 5 years as sole screening.
Correct Answer
B
Rationales
• Correct (B): Annual FIT is an evidence-based, noninvasive
option with high adherence; positive FIT should prompt
diagnostic colonoscopy.
• A (incorrect): Screening should begin at age 45–50
depending on guideline; deferring to 60 misses prevention
opportunities.
• C (incorrect): CT colonography every 10 years is an option
but still requires colonoscopy if lesions found; also less
acceptable to some patients.
• D (incorrect): Flexible sigmoidoscopy alone misses
proximal lesions and is less sensitive than colonoscopy or
FIT plus colonoscopy strategy.
Teaching Point
FIT annually with colonoscopy for positives balances
noninvasiveness and diagnostic accuracy.
