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 — Disease Prevention & Health Promotion
Reference
Ch. — Disease Prevention & Health Promotion — Primary
Prevention: Immunization and Lifestyle Interventions
1) Question Stem
A 28-year-old woman planning pregnancy asks which
intervention before conception most effectively reduces the risk
of congenital rubella. Which should you recommend?
A. Tdap vaccination during pregnancy
B. MMR vaccination at least 1 month before conception
,C. Inactivated influenza vaccine immediately before conception
D. Varicella vaccine during the first trimester
Correct Answer: B
Rationales
• Correct (B): MMR (measles-mumps-rubella) is a live
attenuated vaccine; administering it ≥1 month before
conception reduces congenital rubella risk by ensuring
maternal immunity prior to pregnancy.
• A: Tdap during pregnancy protects against pertussis in the
neonate but does not prevent rubella.
• C: Inactivated influenza vaccine is recommended for
pregnant women but does not prevent rubella.
• D: Varicella vaccine is live and contraindicated during
pregnancy; it must be given before conception, not during
the first trimester.
Teaching Point:
Give MMR ≥1 month preconception to prevent congenital
rubella.
Citation:
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
,Reference
Ch. — Disease Prevention & Health Promotion — Cancer
Screening: Shared Decision-Making
2) Question Stem
A 54-year-old woman with no family history asks whether to
continue mammography. She is in good health and has a life
expectancy >10 years. What is the best shared decision
outcome?
A. Stop screening; age >50 confers no benefit
B. Continue biennial mammography after discussing benefits
and harms
C. Switch to monthly clinical breast exam only
D. Start routine MRI instead of mammography
Correct Answer: B
Rationales
• Correct (B): For average-risk women aged 50–74, biennial
screening mammography is recommended; shared
decision-making should include benefit/harms discussion.
• A: Stopping screening at 54 is premature if life expectancy
is >10 years; guidelines generally support screening
through 74.
• C: Clinical breast exam alone is less sensitive and not
recommended as a replacement for mammography.
, • D: MRI is reserved for high-risk patients (e.g., BRCA
mutation), not routine replacement.
Teaching Point:
Offer biennial mammography to average-risk women 50–74
after shared decision discussion.
Citation:
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
Reference
Ch. — Disease Prevention & Health Promotion — Tobacco
Cessation and Behavioral Interventions
3) Question Stem
A 45-year-old man wants to quit smoking. Which combination is
most evidence-based to maximize cessation success?
A. Counseling only
B. Nicotine replacement therapy (NRT) + brief counseling
C. Varenicline alone, without counseling
D. Electronic cigarettes alone
Correct Answer: B
Rationales
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
1 — Disease Prevention & Health Promotion
Reference
Ch. — Disease Prevention & Health Promotion — Primary
Prevention: Immunization and Lifestyle Interventions
1) Question Stem
A 28-year-old woman planning pregnancy asks which
intervention before conception most effectively reduces the risk
of congenital rubella. Which should you recommend?
A. Tdap vaccination during pregnancy
B. MMR vaccination at least 1 month before conception
,C. Inactivated influenza vaccine immediately before conception
D. Varicella vaccine during the first trimester
Correct Answer: B
Rationales
• Correct (B): MMR (measles-mumps-rubella) is a live
attenuated vaccine; administering it ≥1 month before
conception reduces congenital rubella risk by ensuring
maternal immunity prior to pregnancy.
• A: Tdap during pregnancy protects against pertussis in the
neonate but does not prevent rubella.
• C: Inactivated influenza vaccine is recommended for
pregnant women but does not prevent rubella.
• D: Varicella vaccine is live and contraindicated during
pregnancy; it must be given before conception, not during
the first trimester.
Teaching Point:
Give MMR ≥1 month preconception to prevent congenital
rubella.
Citation:
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
,Reference
Ch. — Disease Prevention & Health Promotion — Cancer
Screening: Shared Decision-Making
2) Question Stem
A 54-year-old woman with no family history asks whether to
continue mammography. She is in good health and has a life
expectancy >10 years. What is the best shared decision
outcome?
A. Stop screening; age >50 confers no benefit
B. Continue biennial mammography after discussing benefits
and harms
C. Switch to monthly clinical breast exam only
D. Start routine MRI instead of mammography
Correct Answer: B
Rationales
• Correct (B): For average-risk women aged 50–74, biennial
screening mammography is recommended; shared
decision-making should include benefit/harms discussion.
• A: Stopping screening at 54 is premature if life expectancy
is >10 years; guidelines generally support screening
through 74.
• C: Clinical breast exam alone is less sensitive and not
recommended as a replacement for mammography.
, • D: MRI is reserved for high-risk patients (e.g., BRCA
mutation), not routine replacement.
Teaching Point:
Offer biennial mammography to average-risk women 50–74
after shared decision discussion.
Citation:
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
Reference
Ch. — Disease Prevention & Health Promotion — Tobacco
Cessation and Behavioral Interventions
3) Question Stem
A 45-year-old man wants to quit smoking. Which combination is
most evidence-based to maximize cessation success?
A. Counseling only
B. Nicotine replacement therapy (NRT) + brief counseling
C. Varenicline alone, without counseling
D. Electronic cigarettes alone
Correct Answer: B
Rationales
