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
Item 1
Reference
Ch. 1 — Disease Prevention & Health Promotion.
accessmedicine.mhmedical.com
Question Stem
A 58-year-old woman with well-controlled type 2 diabetes
,presents for routine care. She asks which preventive measure
will most reduce her risk of cardiovascular events. Which action
should you prioritize in counseling?
Options
A. Initiate low-dose aspirin for primary prevention.
B. Intensify glycemic control to target HbA1c <6.5%.
C. Intensify blood-pressure control to <130/80 mm Hg.
D. Add a daily statin regardless of LDL level.
Correct Answer
C
Rationales
• Correct (C): In adults with diabetes, optimizing blood-
pressure control produces larger reductions in
cardiovascular risk than small incremental HbA1c lowering;
CMDT emphasizes BP control as a key cardiovascular risk
modifier. accessmedicine.mhmedical.com
• A: Low-dose aspirin for primary prevention is
individualized and not routinely recommended for all
adults due to bleeding risk; it’s less broadly beneficial than
BP control. accessmedicine.mhmedical.com
• B: Very tight glycemic targets yield diminishing
macrovascular benefit and increase hypoglycemia risk in
many adults; benefits are greater for microvascular
outcomes. accessmedicine.mhmedical.com
, • D: Statin therapy is indicated for most adults with diabetes
depending on overall risk, but BP control remains the
highest-yield single intervention to reduce cardiovascular
events. accessmedicine.mhmedical.com
Teaching Point
Prioritize blood-pressure control to lower cardiovascular risk in
diabetes.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
Item 2
Reference
Ch. 1 — Disease Prevention & Health Promotion.
accessmedicine.mhmedical.com
Question Stem
A 26-year-old woman who is sexually active with multiple
partners asks which preventive intervention most reduces her
risk of cervical cancer. Which is the best recommendation?
Options
A. Annual Pap smear starting now.
B. HPV vaccination completion if not previously vaccinated.
C. HPV DNA testing only every 10 years.
D. Routine pelvic ultrasound screening.
, Correct Answer
B
Rationales
• Correct (B): CMDT highlights HPV vaccination as a primary
prevention strategy that substantially reduces cervical
cancer risk when completed before or during early
adulthood. accessmedicine.mhmedical.com
• A: Annual Pap smears are not recommended for all ages;
screening intervals are longer and depend on HPV testing
and age. accessmedicine.mhmedical.com
• C: HPV DNA testing is part of screening protocols with
defined intervals, but “only every 10 years” is not an
appropriate blanket recommendation; vaccination
addresses primary prevention.
accessmedicine.mhmedical.com
• D: Pelvic ultrasound is not a screening test for cervical
cancer. accessmedicine.mhmedical.com
Teaching Point
HPV vaccination is primary prevention and reduces cervical
cancer incidence.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Item 1
Reference
Ch. 1 — Disease Prevention & Health Promotion.
accessmedicine.mhmedical.com
Question Stem
A 58-year-old woman with well-controlled type 2 diabetes
,presents for routine care. She asks which preventive measure
will most reduce her risk of cardiovascular events. Which action
should you prioritize in counseling?
Options
A. Initiate low-dose aspirin for primary prevention.
B. Intensify glycemic control to target HbA1c <6.5%.
C. Intensify blood-pressure control to <130/80 mm Hg.
D. Add a daily statin regardless of LDL level.
Correct Answer
C
Rationales
• Correct (C): In adults with diabetes, optimizing blood-
pressure control produces larger reductions in
cardiovascular risk than small incremental HbA1c lowering;
CMDT emphasizes BP control as a key cardiovascular risk
modifier. accessmedicine.mhmedical.com
• A: Low-dose aspirin for primary prevention is
individualized and not routinely recommended for all
adults due to bleeding risk; it’s less broadly beneficial than
BP control. accessmedicine.mhmedical.com
• B: Very tight glycemic targets yield diminishing
macrovascular benefit and increase hypoglycemia risk in
many adults; benefits are greater for microvascular
outcomes. accessmedicine.mhmedical.com
, • D: Statin therapy is indicated for most adults with diabetes
depending on overall risk, but BP control remains the
highest-yield single intervention to reduce cardiovascular
events. accessmedicine.mhmedical.com
Teaching Point
Prioritize blood-pressure control to lower cardiovascular risk in
diabetes.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
Item 2
Reference
Ch. 1 — Disease Prevention & Health Promotion.
accessmedicine.mhmedical.com
Question Stem
A 26-year-old woman who is sexually active with multiple
partners asks which preventive intervention most reduces her
risk of cervical cancer. Which is the best recommendation?
Options
A. Annual Pap smear starting now.
B. HPV vaccination completion if not previously vaccinated.
C. HPV DNA testing only every 10 years.
D. Routine pelvic ultrasound screening.
, Correct Answer
B
Rationales
• Correct (B): CMDT highlights HPV vaccination as a primary
prevention strategy that substantially reduces cervical
cancer risk when completed before or during early
adulthood. accessmedicine.mhmedical.com
• A: Annual Pap smears are not recommended for all ages;
screening intervals are longer and depend on HPV testing
and age. accessmedicine.mhmedical.com
• C: HPV DNA testing is part of screening protocols with
defined intervals, but “only every 10 years” is not an
appropriate blanket recommendation; vaccination
addresses primary prevention.
accessmedicine.mhmedical.com
• D: Pelvic ultrasound is not a screening test for cervical
cancer. accessmedicine.mhmedical.com
Teaching Point
HPV vaccination is primary prevention and reduces cervical
cancer incidence.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
