Study Guide | Foundational to Intermediate
Clinical Decision-Making | 2026/2027
Section 1: Core Principles & Assessment (6 Qs)
Q1. A healthy 30-year-old female presents for a routine wellness visit. Which screening
is recommended by the USPSTF 2026 for this age group?
A. Lipid panel every 5 years
B. Cervical cytology alone every 3 years
C. HPV test alone every 5 years (preferred) or cytology every 3 years
D. Mammography baseline
Correct: C
Rationale: USPSTF 2026 recommends HPV test alone every 5 years (age 30-65) as the
preferred strategy, or cytology every 3 years. Lipid panel (A) starts at 35 for women
unless risk factors. Mammography (D) begins at 40.
Q2. The normal range for adult resting heart rate according to AHA 2026 is:
A. 50–90 bpm
B. 60–100 bpm
, C. 55–95 bpm
D. 70–110 bpm
Correct: B
Rationale: AHA 2026 defines normal resting HR as 60–100 bpm. Values outside may
indicate bradycardia or tachycardia requiring context.
Q3. A 45-year-old male has BP 138/88 mmHg on two separate visits. Next step per
ACC/AHA 2026:
A. Label hypertension and start medication
B. Recommend lifestyle changes and recheck in 3 months
C. Order 24-hour ambulatory BP monitoring
D. Reassure and recheck annually
Correct: B
Rationale: Stage 1 HTN (130–139/80–89) without CVD or risk <10 % → lifestyle only,
recheck 3 months. Medication (A) if risk ≥10 % or clinical CVD.
Q4. A 35-year-old female asks about iron supplementation for heavy menses. Best
screening test:
A. Serum ferritin
B. Hemoglobin & hematocrit
C. Reticulocyte count