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
Topic 1 — Disease Prevention & Health Promotion (5 items)
1) Reference
Ch. — Disease Prevention & Health Promotion — Section:
Preventive Services and Immunizations
Question Stem
A 68-year-old man with well-controlled type 2 diabetes
presents for routine care. Which preventive intervention is
highest priority to reduce his risk of influenza-related
complications this season?
,A. Annual high-dose influenza vaccination
B. Pneumococcal polysaccharide vaccine (PPSV23) now
C. Oseltamivir prophylaxis for the winter months
D. Routine tetanus booster
Correct Answer
A
Rationales
• A (Correct): High-dose influenza vaccine in older adults
elicits a stronger immune response and reduces influenza
complications; annual influenza vaccination is the top
priority for older adults with diabetes.
• B: Pneumococcal vaccination is important for older adults
but is not the primary preventive measure against seasonal
influenza complications.
• C: Antiviral prophylaxis is reserved for specific outbreak
situations or severely immunocompromised patients, not
routine prevention for this patient.
• D: Tetanus boosters are indicated every 10 years or after
certain wounds; they do not reduce influenza risk.
Teaching Point
High-dose annual influenza vaccine reduces morbidity in adults
≥65 years.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
,Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
2) Reference
Ch. — Disease Prevention & Health Promotion — Section:
Screening for Cardiovascular Risk
Question Stem
A 55-year-old woman with obesity and family history of
premature coronary disease asks which screening test will best
inform primary prevention decisions now. Which test do you
recommend first?
A. Coronary artery calcium (CAC) score by CT
B. Resting echocardiogram
C. High-sensitivity C-reactive protein (hs-CRP)
D. 12-lead resting ECG
Correct Answer
A
Rationales
• A (Correct): CAC scoring refines cardiovascular risk in
intermediate-risk patients and can guide initiation of statin
therapy when risk is uncertain.
• B: Echocardiography assesses cardiac structure/function
but is not a primary tool for atherosclerotic risk
stratification.
, • C: hs-CRP may add risk information but is less
discriminative than CAC for guiding primary prevention.
• D: Resting ECG detects conduction or ischemic changes but
does not quantify atherosclerotic burden for prevention
decisions.
Teaching Point
CAC scoring refines risk in intermediate-risk patients for statin
decisions.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
3) Reference
Ch. — Disease Prevention & Health Promotion — Section:
Behavioral Interventions for Smoking Cessation
Question Stem
A 45-year-old man who smokes 20 cigarettes/day wants to quit.
Which initial intervention most increases his chance of
successful long-term cessation?
A. Brief clinician advice plus referral to counseling and
pharmacotherapy (varenicline or NRT)
B. Advice to quit and suggestion to "try cold turkey" without
medications
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Topic 1 — Disease Prevention & Health Promotion (5 items)
1) Reference
Ch. — Disease Prevention & Health Promotion — Section:
Preventive Services and Immunizations
Question Stem
A 68-year-old man with well-controlled type 2 diabetes
presents for routine care. Which preventive intervention is
highest priority to reduce his risk of influenza-related
complications this season?
,A. Annual high-dose influenza vaccination
B. Pneumococcal polysaccharide vaccine (PPSV23) now
C. Oseltamivir prophylaxis for the winter months
D. Routine tetanus booster
Correct Answer
A
Rationales
• A (Correct): High-dose influenza vaccine in older adults
elicits a stronger immune response and reduces influenza
complications; annual influenza vaccination is the top
priority for older adults with diabetes.
• B: Pneumococcal vaccination is important for older adults
but is not the primary preventive measure against seasonal
influenza complications.
• C: Antiviral prophylaxis is reserved for specific outbreak
situations or severely immunocompromised patients, not
routine prevention for this patient.
• D: Tetanus boosters are indicated every 10 years or after
certain wounds; they do not reduce influenza risk.
Teaching Point
High-dose annual influenza vaccine reduces morbidity in adults
≥65 years.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
,Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
2) Reference
Ch. — Disease Prevention & Health Promotion — Section:
Screening for Cardiovascular Risk
Question Stem
A 55-year-old woman with obesity and family history of
premature coronary disease asks which screening test will best
inform primary prevention decisions now. Which test do you
recommend first?
A. Coronary artery calcium (CAC) score by CT
B. Resting echocardiogram
C. High-sensitivity C-reactive protein (hs-CRP)
D. 12-lead resting ECG
Correct Answer
A
Rationales
• A (Correct): CAC scoring refines cardiovascular risk in
intermediate-risk patients and can guide initiation of statin
therapy when risk is uncertain.
• B: Echocardiography assesses cardiac structure/function
but is not a primary tool for atherosclerotic risk
stratification.
, • C: hs-CRP may add risk information but is less
discriminative than CAC for guiding primary prevention.
• D: Resting ECG detects conduction or ischemic changes but
does not quantify atherosclerotic burden for prevention
decisions.
Teaching Point
CAC scoring refines risk in intermediate-risk patients for statin
decisions.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
3) Reference
Ch. — Disease Prevention & Health Promotion — Section:
Behavioral Interventions for Smoking Cessation
Question Stem
A 45-year-old man who smokes 20 cigarettes/day wants to quit.
Which initial intervention most increases his chance of
successful long-term cessation?
A. Brief clinician advice plus referral to counseling and
pharmacotherapy (varenicline or NRT)
B. Advice to quit and suggestion to "try cold turkey" without
medications
