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. Reference — Ch. Disease Prevention & Health Promotion
— Adult Immunization and Counseling
Question Stem: A 67-year-old man with well-controlled
type 2 diabetes presents for routine care. Which
immunization should be prioritized at this visit to reduce
his risk of invasive pneumococcal disease?
, Options:
A. Annual inactivated influenza vaccine only
B. PPSV23 (pneumococcal polysaccharide vaccine) alone
now
C. PCV20 (pneumococcal conjugate vaccine) now if not
previously received
D. No pneumococcal vaccine until age 75 if asymptomatic
Correct Answer: C
Rationales — Correct: PCV20 provides broader serotype
coverage and is recommended for adults ≥65 or younger
with certain comorbidities (including diabetes) if not
previously vaccinated; it reduces invasive pneumococcal
disease risk.
Rationales — Incorrect: A: Influenza vaccine is important
annually but does not replace pneumococcal vaccination.
B: PPSV23 alone is less preferred than conjugate vaccine
first in most current recommendations. D: Delaying
vaccination increases infection risk in high-risk patients.
Teaching Point: Give indicated pneumococcal conjugate
vaccine to at-risk adults who haven’t received it.
Citation: Papadakis et al. (2026). CURRENT Medical
Diagnosis & Treatment 2026 (65th Ed.). Ch. Disease
Prevention & Health Promotion.
2. Reference — Ch. Disease Prevention & Health Promotion
— Cancer Screening & Risk Assessment
,Question Stem: A 52-year-old woman with no family
history of breast cancer asks about screening. According to
evidence-based preventive guidelines, which approach
best balances benefits and harms?
Options:
A. Begin annual mammography at age 40 for all women
regardless of risk
B. Offer biennial screening mammography starting at age
50 after shared decision-making
C. Defer screening until age 65 because younger screening
causes net harm
D. Only screen women with any breast symptom or
palpable mass
Correct Answer: B
Rationales — Correct: For average-risk women ages 50–74,
biennial mammography is supported by many guidelines;
use shared decision-making for ages 40–49.
Rationales — Incorrect: A: Universal annual screening at 40
is not uniformly recommended due to tradeoffs in harms
and benefits. C: Waiting until 65 misses preventive benefit
in 50–64 group. D: Screening is for asymptomatic
individuals; waiting for symptoms negates preventive
detection.
Teaching Point: Use shared decision-making for
mammography in women aged 40–49; routine biennial
screening from 50–74.
Citation: Papadakis et al. (2026). CURRENT Medical
, Diagnosis & Treatment 2026 (65th Ed.). Ch. Disease
Prevention & Health Promotion.
3. Reference — Ch. Disease Prevention & Health Promotion
— Counseling for Tobacco Cessation
Question Stem: A 45-year-old man who smokes 20
cigarettes per day wants to stop. Which combined
approach gives the highest short-term cessation success?
Options:
A. Brief physician advice alone at each visit
B. Nicotine replacement therapy (patch) plus behavioral
counseling
C. Self-help pamphlets only
D. Varenicline without counseling and no follow-up
Correct Answer: B
Rationales — Correct: Combining pharmacotherapy (NRT)
with behavioral counseling significantly increases quit rates
compared with either alone.
Rationales — Incorrect: A: Brief advice helps but is less
effective than combined therapy. C: Self-help alone has low
effectiveness. D: Varenicline is effective but therapy is most
effective when combined with counseling and follow-up.
Teaching Point: Combine pharmacotherapy with behavioral
counseling for best quit rates.
Citation: Papadakis et al. (2026). CURRENT Medical
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
1. Reference — Ch. Disease Prevention & Health Promotion
— Adult Immunization and Counseling
Question Stem: A 67-year-old man with well-controlled
type 2 diabetes presents for routine care. Which
immunization should be prioritized at this visit to reduce
his risk of invasive pneumococcal disease?
, Options:
A. Annual inactivated influenza vaccine only
B. PPSV23 (pneumococcal polysaccharide vaccine) alone
now
C. PCV20 (pneumococcal conjugate vaccine) now if not
previously received
D. No pneumococcal vaccine until age 75 if asymptomatic
Correct Answer: C
Rationales — Correct: PCV20 provides broader serotype
coverage and is recommended for adults ≥65 or younger
with certain comorbidities (including diabetes) if not
previously vaccinated; it reduces invasive pneumococcal
disease risk.
Rationales — Incorrect: A: Influenza vaccine is important
annually but does not replace pneumococcal vaccination.
B: PPSV23 alone is less preferred than conjugate vaccine
first in most current recommendations. D: Delaying
vaccination increases infection risk in high-risk patients.
Teaching Point: Give indicated pneumococcal conjugate
vaccine to at-risk adults who haven’t received it.
Citation: Papadakis et al. (2026). CURRENT Medical
Diagnosis & Treatment 2026 (65th Ed.). Ch. Disease
Prevention & Health Promotion.
2. Reference — Ch. Disease Prevention & Health Promotion
— Cancer Screening & Risk Assessment
,Question Stem: A 52-year-old woman with no family
history of breast cancer asks about screening. According to
evidence-based preventive guidelines, which approach
best balances benefits and harms?
Options:
A. Begin annual mammography at age 40 for all women
regardless of risk
B. Offer biennial screening mammography starting at age
50 after shared decision-making
C. Defer screening until age 65 because younger screening
causes net harm
D. Only screen women with any breast symptom or
palpable mass
Correct Answer: B
Rationales — Correct: For average-risk women ages 50–74,
biennial mammography is supported by many guidelines;
use shared decision-making for ages 40–49.
Rationales — Incorrect: A: Universal annual screening at 40
is not uniformly recommended due to tradeoffs in harms
and benefits. C: Waiting until 65 misses preventive benefit
in 50–64 group. D: Screening is for asymptomatic
individuals; waiting for symptoms negates preventive
detection.
Teaching Point: Use shared decision-making for
mammography in women aged 40–49; routine biennial
screening from 50–74.
Citation: Papadakis et al. (2026). CURRENT Medical
, Diagnosis & Treatment 2026 (65th Ed.). Ch. Disease
Prevention & Health Promotion.
3. Reference — Ch. Disease Prevention & Health Promotion
— Counseling for Tobacco Cessation
Question Stem: A 45-year-old man who smokes 20
cigarettes per day wants to stop. Which combined
approach gives the highest short-term cessation success?
Options:
A. Brief physician advice alone at each visit
B. Nicotine replacement therapy (patch) plus behavioral
counseling
C. Self-help pamphlets only
D. Varenicline without counseling and no follow-up
Correct Answer: B
Rationales — Correct: Combining pharmacotherapy (NRT)
with behavioral counseling significantly increases quit rates
compared with either alone.
Rationales — Incorrect: A: Brief advice helps but is less
effective than combined therapy. C: Self-help alone has low
effectiveness. D: Varenicline is effective but therapy is most
effective when combined with counseling and follow-up.
Teaching Point: Combine pharmacotherapy with behavioral
counseling for best quit rates.
Citation: Papadakis et al. (2026). CURRENT Medical
