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
Questions 1–5 — Ch. 1 — Disease Prevention & Health
Promotion
1) Reference
Ch. 1 — Disease Prevention & Health Promotion
,Question Stem
A 58-year-old man with a 30-pack-year smoking history
presents for routine care. He has no chronic respiratory
symptoms. Which preventive intervention most reduces his
long-term risk of lung-cancer mortality?
A. Annual chest radiograph screening
B. Low-dose chest CT (LDCT) screening per guideline criteria
C. Sputum cytology every 2 years
D. Smoking cessation counseling only if the patient asks for help
Correct Answer
B
Rationales
Correct: Low-dose CT screening in appropriately selected high-
risk adults reduces lung-cancer mortality by detecting earlier
stage disease eligible for curative treatment; CMDT emphasizes
LDCT for eligible long-term smokers.
accessmedicine.mhmedical.com
A: Plain chest radiograph does not reduce lung-cancer mortality
and is not recommended for screening.
C: Sputum cytology lacks sensitivity for screening and is not
recommended over LDCT.
D: Smoking cessation counseling is essential but best practice
pairs counseling with active cessation interventions and LDCT
when indicated.
,Teaching Point
LDCT screening reduces lung-cancer mortality in eligible high-
risk individuals.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
2) Reference
Ch. 1 — Disease Prevention & Health Promotion
Question Stem
A 72-year-old woman with well-controlled hypertension asks
which vaccinations she still needs. Her immunizations are
incomplete; she reports no prior zoster vaccine. Which
immunization should be prioritized to reduce her risk of severe
disease and complications?
A. Annual inactivated influenza vaccine and recombinant zoster
vaccine (RZV)
B. Live attenuated zoster vaccine only
C. Pneumococcal polysaccharide vaccine (PPSV23) only
D. Tdap only
Correct Answer
A
, Rationales
Correct: For older adults, CMDT recommends annual
inactivated influenza vaccination and recombinant zoster
vaccine (RZV) to prevent severe influenza and shingles
complications. Combining age-appropriate vaccines is
prioritized. accessmedicine.mhmedical.com
B: Live zoster vaccine is generally not preferred for adults ≥50
when RZV is available.
C: Pneumococcal vaccination may be indicated depending on
history but does not replace influenza and zoster prevention.
D: Tdap is recommended once (or Td booster) as indicated; it’s
not the highest-priority vaccine for this patient’s stated needs.
Teaching Point
Give age-appropriate vaccines: annual influenza and RZV for
older adults.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
3) Reference
Ch. 1 — Disease Prevention & Health Promotion
Question Stem
A 45-year-old woman with BMI 36 kg/m² asks about
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Questions 1–5 — Ch. 1 — Disease Prevention & Health
Promotion
1) Reference
Ch. 1 — Disease Prevention & Health Promotion
,Question Stem
A 58-year-old man with a 30-pack-year smoking history
presents for routine care. He has no chronic respiratory
symptoms. Which preventive intervention most reduces his
long-term risk of lung-cancer mortality?
A. Annual chest radiograph screening
B. Low-dose chest CT (LDCT) screening per guideline criteria
C. Sputum cytology every 2 years
D. Smoking cessation counseling only if the patient asks for help
Correct Answer
B
Rationales
Correct: Low-dose CT screening in appropriately selected high-
risk adults reduces lung-cancer mortality by detecting earlier
stage disease eligible for curative treatment; CMDT emphasizes
LDCT for eligible long-term smokers.
accessmedicine.mhmedical.com
A: Plain chest radiograph does not reduce lung-cancer mortality
and is not recommended for screening.
C: Sputum cytology lacks sensitivity for screening and is not
recommended over LDCT.
D: Smoking cessation counseling is essential but best practice
pairs counseling with active cessation interventions and LDCT
when indicated.
,Teaching Point
LDCT screening reduces lung-cancer mortality in eligible high-
risk individuals.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
2) Reference
Ch. 1 — Disease Prevention & Health Promotion
Question Stem
A 72-year-old woman with well-controlled hypertension asks
which vaccinations she still needs. Her immunizations are
incomplete; she reports no prior zoster vaccine. Which
immunization should be prioritized to reduce her risk of severe
disease and complications?
A. Annual inactivated influenza vaccine and recombinant zoster
vaccine (RZV)
B. Live attenuated zoster vaccine only
C. Pneumococcal polysaccharide vaccine (PPSV23) only
D. Tdap only
Correct Answer
A
, Rationales
Correct: For older adults, CMDT recommends annual
inactivated influenza vaccination and recombinant zoster
vaccine (RZV) to prevent severe influenza and shingles
complications. Combining age-appropriate vaccines is
prioritized. accessmedicine.mhmedical.com
B: Live zoster vaccine is generally not preferred for adults ≥50
when RZV is available.
C: Pneumococcal vaccination may be indicated depending on
history but does not replace influenza and zoster prevention.
D: Tdap is recommended once (or Td booster) as indicated; it’s
not the highest-priority vaccine for this patient’s stated needs.
Teaching Point
Give age-appropriate vaccines: annual influenza and RZV for
older adults.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
3) Reference
Ch. 1 — Disease Prevention & Health Promotion
Question Stem
A 45-year-old woman with BMI 36 kg/m² asks about
