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 —
Immunizations & Adult Preventive Care
Question Stem: A 68-year-old man with well-controlled type 2
diabetes asks which vaccines are most important this season to
reduce his risk of serious respiratory infection. Which
immunization should you prioritize?
Options:
A. Live attenuated influenza vaccine (LAIV) intranasal
formulation
B. High-dose inactivated influenza vaccine (intramuscular)
,C. PPSV23 (pneumococcal polysaccharide) only
D. HPV vaccine series initiation now
Correct Answer: B
Rationales:
• Correct (B): High-dose inactivated influenza vaccine is
recommended for adults ≥65 years to improve
immunogenicity and reduce influenza-related morbidity
and hospitalization in older adults with chronic disease.
• Incorrect (A): LAIV is contraindicated in older adults (≥50–
65 depending on guidance) and in many adults with
chronic conditions.
• Incorrect (C): Pneumococcal vaccination is important, but
for immediate seasonal respiratory risk in this age group
influenza vaccine takes priority; pneumococcal strategy
often includes PCV followed by PPSV23 per schedule.
• Incorrect (D): HPV vaccination is not routinely indicated to
initiate at age 68; benefit in this age group is minimal.
Teaching Point: High-dose inactivated influenza vaccine is
preferred for older adults to reduce severe influenza outcomes.
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 Principles
Question Stem: A 55-year-old woman with average cancer risk
asks whether to continue routine screening. According to
evidence-based screening principles, which screening should be
continued at this age?
Options:
A. Annual pelvic exam with Pap smear only (no HPV testing)
B. Colon cancer screening with colonoscopy every 10 years if
prior test normal
C. Mammography discontinued after age 50 for all women
D. CA-125 measurement annually for ovarian cancer screening
Correct Answer: B
Rationales:
• Correct (B): Average-risk adults starting at recommended
ages should continue colorectal cancer screening;
colonoscopy every 10 years is an accepted option if prior
tests were normal.
• Incorrect (A): Pap/HPV screening intervals vary; annual
Pap alone is not recommended for average-risk women—
co-testing and extended intervals are used.
• Incorrect (C): Mammography recommendations vary, but
many guidelines continue screening past 50; blanket
discontinuation at 50 is incorrect.
, • Incorrect (D): CA-125 is not recommended for routine
ovarian cancer screening in asymptomatic average-risk
women.
Teaching Point: Continue recommended colorectal screening
(e.g., colonoscopy every 10 years) in average-risk adults.
Citation: Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. Disease Prevention & Health
Promotion.
3)
Reference: Ch. — Disease Prevention & Health Promotion —
Tobacco Cessation & Behavioral Interventions
Question Stem: A 45-year-old smoker (30 pack-years) wants to
quit. Which first-line pharmacotherapy paired with counseling
offers the best evidence for enhancing cessation success?
Options:
A. Bupropion SR plus behavioral counseling
B. Low-dose benzodiazepine for stress plus counseling
C. Nicotine lozenges alone without counseling
D. Varenicline avoided; recommend hypnosis only
Correct Answer: A
Rationales:
• Correct (A): Bupropion SR combined with behavioral
counseling is evidence-based first-line therapy that
increases quit rates and is appropriate for many smokers.
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 —
Immunizations & Adult Preventive Care
Question Stem: A 68-year-old man with well-controlled type 2
diabetes asks which vaccines are most important this season to
reduce his risk of serious respiratory infection. Which
immunization should you prioritize?
Options:
A. Live attenuated influenza vaccine (LAIV) intranasal
formulation
B. High-dose inactivated influenza vaccine (intramuscular)
,C. PPSV23 (pneumococcal polysaccharide) only
D. HPV vaccine series initiation now
Correct Answer: B
Rationales:
• Correct (B): High-dose inactivated influenza vaccine is
recommended for adults ≥65 years to improve
immunogenicity and reduce influenza-related morbidity
and hospitalization in older adults with chronic disease.
• Incorrect (A): LAIV is contraindicated in older adults (≥50–
65 depending on guidance) and in many adults with
chronic conditions.
• Incorrect (C): Pneumococcal vaccination is important, but
for immediate seasonal respiratory risk in this age group
influenza vaccine takes priority; pneumococcal strategy
often includes PCV followed by PPSV23 per schedule.
• Incorrect (D): HPV vaccination is not routinely indicated to
initiate at age 68; benefit in this age group is minimal.
Teaching Point: High-dose inactivated influenza vaccine is
preferred for older adults to reduce severe influenza outcomes.
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 Principles
Question Stem: A 55-year-old woman with average cancer risk
asks whether to continue routine screening. According to
evidence-based screening principles, which screening should be
continued at this age?
Options:
A. Annual pelvic exam with Pap smear only (no HPV testing)
B. Colon cancer screening with colonoscopy every 10 years if
prior test normal
C. Mammography discontinued after age 50 for all women
D. CA-125 measurement annually for ovarian cancer screening
Correct Answer: B
Rationales:
• Correct (B): Average-risk adults starting at recommended
ages should continue colorectal cancer screening;
colonoscopy every 10 years is an accepted option if prior
tests were normal.
• Incorrect (A): Pap/HPV screening intervals vary; annual
Pap alone is not recommended for average-risk women—
co-testing and extended intervals are used.
• Incorrect (C): Mammography recommendations vary, but
many guidelines continue screening past 50; blanket
discontinuation at 50 is incorrect.
, • Incorrect (D): CA-125 is not recommended for routine
ovarian cancer screening in asymptomatic average-risk
women.
Teaching Point: Continue recommended colorectal screening
(e.g., colonoscopy every 10 years) in average-risk adults.
Citation: Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. Disease Prevention & Health
Promotion.
3)
Reference: Ch. — Disease Prevention & Health Promotion —
Tobacco Cessation & Behavioral Interventions
Question Stem: A 45-year-old smoker (30 pack-years) wants to
quit. Which first-line pharmacotherapy paired with counseling
offers the best evidence for enhancing cessation success?
Options:
A. Bupropion SR plus behavioral counseling
B. Low-dose benzodiazepine for stress plus counseling
C. Nicotine lozenges alone without counseling
D. Varenicline avoided; recommend hypnosis only
Correct Answer: A
Rationales:
• Correct (A): Bupropion SR combined with behavioral
counseling is evidence-based first-line therapy that
increases quit rates and is appropriate for many smokers.
