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
CHAPTER 1 — Disease Prevention & Health Promotion (5
items)
Q1
Reference: Ch. — Disease Prevention & Health Promotion
— Adult Preventive Services and Screening
Question (stem): A 55-year-old man with no symptoms
and a 10–pack-year smoking history asks about lung
cancer screening. Which approach best follows current
screening principles?
,Options:
A. Do low-dose CT annually if he currently smokes or quit
within the past 15 years and has ≥20 pack-years.
B. Do low-dose CT annually only if he has ≥30 pack-years
regardless of quit time.
C. Recommend chest X-ray annually instead of CT because
radiation is lower.
D. No screening is indicated because he has no respiratory
symptoms.
Correct Answer: A
Rationale — Correct: Low-dose CT screening is indicated
for adults with a significant smoking history; many
guidelines use thresholds including current smokers or
those who quit within 15 years and meet a pack-year
threshold (screening reduces mortality by detecting early-
stage disease).
Rationale — Incorrect:
B. Many programs use ≥20–30 pack-years; however,
restricting solely to ≥30 without considering quit time may
miss eligible patients—A is more inclusive based on
modern eligibility.
C. Chest X-ray is not effective for lung cancer screening
and does not reduce mortality compared with low-dose
CT.
D. Absence of symptoms does not preclude screening
,when risk criteria are met; screening targets asymptomatic
high-risk adults.
Teaching Point: Low-dose CT screening for lung cancer
targets high-risk, asymptomatic smokers to detect early
disease.
Citation: Papadakis et al. (2025). CURRENT Medical
Diagnosis & Treatment 2026 (65th Ed.). Ch. — Disease
Prevention & Health Promotion.
Q2
Reference: Ch. — Disease Prevention & Health Promotion
— Immunizations in Adults
Question (stem): A 68-year-old woman with well-
controlled diabetes presents for routine care. Which
immunization is most important to administer now to
reduce the risk of severe disease?
Options:
A. Influenza vaccine (annual) and pneumococcal
vaccination per age-based schedule.
B. Hepatitis B vaccine only.
C. Live attenuated influenza vaccine intranasal.
D. HPV vaccine series.
Correct Answer: A
Rationale — Correct: Annual influenza vaccination and
, age-appropriate pneumococcal vaccines are key for older
adults and those with chronic diseases (e.g., diabetes) to
prevent severe respiratory infections.
Rationale — Incorrect:
B. Hepatitis B is indicated selectively (e.g., high risk); it is
not the highest priority for most older adults with
diabetes.
C. Live intranasal influenza vaccine is generally not
recommended for older adults; inactivated injectable
influenza vaccine is preferred.
D. HPV vaccination is generally for younger adults; routine
administration in older adults (≥26–45) is limited and not
the priority here.
Teaching Point: Prioritize annual flu and age-appropriate
pneumococcal vaccines for older adults with chronic
illness.
Citation: Papadakis et al. (2025). CURRENT Medical
Diagnosis & Treatment 2026 (65th Ed.). Ch. — Disease
Prevention & Health Promotion.
Q3
Reference: Ch. — Disease Prevention & Health Promotion
— Cardiovascular Risk Reduction (Primary Prevention)
Question (stem): A 48-year-old woman with LDL 155
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
CHAPTER 1 — Disease Prevention & Health Promotion (5
items)
Q1
Reference: Ch. — Disease Prevention & Health Promotion
— Adult Preventive Services and Screening
Question (stem): A 55-year-old man with no symptoms
and a 10–pack-year smoking history asks about lung
cancer screening. Which approach best follows current
screening principles?
,Options:
A. Do low-dose CT annually if he currently smokes or quit
within the past 15 years and has ≥20 pack-years.
B. Do low-dose CT annually only if he has ≥30 pack-years
regardless of quit time.
C. Recommend chest X-ray annually instead of CT because
radiation is lower.
D. No screening is indicated because he has no respiratory
symptoms.
Correct Answer: A
Rationale — Correct: Low-dose CT screening is indicated
for adults with a significant smoking history; many
guidelines use thresholds including current smokers or
those who quit within 15 years and meet a pack-year
threshold (screening reduces mortality by detecting early-
stage disease).
Rationale — Incorrect:
B. Many programs use ≥20–30 pack-years; however,
restricting solely to ≥30 without considering quit time may
miss eligible patients—A is more inclusive based on
modern eligibility.
C. Chest X-ray is not effective for lung cancer screening
and does not reduce mortality compared with low-dose
CT.
D. Absence of symptoms does not preclude screening
,when risk criteria are met; screening targets asymptomatic
high-risk adults.
Teaching Point: Low-dose CT screening for lung cancer
targets high-risk, asymptomatic smokers to detect early
disease.
Citation: Papadakis et al. (2025). CURRENT Medical
Diagnosis & Treatment 2026 (65th Ed.). Ch. — Disease
Prevention & Health Promotion.
Q2
Reference: Ch. — Disease Prevention & Health Promotion
— Immunizations in Adults
Question (stem): A 68-year-old woman with well-
controlled diabetes presents for routine care. Which
immunization is most important to administer now to
reduce the risk of severe disease?
Options:
A. Influenza vaccine (annual) and pneumococcal
vaccination per age-based schedule.
B. Hepatitis B vaccine only.
C. Live attenuated influenza vaccine intranasal.
D. HPV vaccine series.
Correct Answer: A
Rationale — Correct: Annual influenza vaccination and
, age-appropriate pneumococcal vaccines are key for older
adults and those with chronic diseases (e.g., diabetes) to
prevent severe respiratory infections.
Rationale — Incorrect:
B. Hepatitis B is indicated selectively (e.g., high risk); it is
not the highest priority for most older adults with
diabetes.
C. Live intranasal influenza vaccine is generally not
recommended for older adults; inactivated injectable
influenza vaccine is preferred.
D. HPV vaccination is generally for younger adults; routine
administration in older adults (≥26–45) is limited and not
the priority here.
Teaching Point: Prioritize annual flu and age-appropriate
pneumococcal vaccines for older adults with chronic
illness.
Citation: Papadakis et al. (2025). CURRENT Medical
Diagnosis & Treatment 2026 (65th Ed.). Ch. — Disease
Prevention & Health Promotion.
Q3
Reference: Ch. — Disease Prevention & Health Promotion
— Cardiovascular Risk Reduction (Primary Prevention)
Question (stem): A 48-year-old woman with LDL 155
