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 —
Preventive Services & Screening
Question Stem: A 52-year-old man with well-controlled
hypertension asks which cancer screening to prioritize during
today’s visit. He has no family history of colorectal cancer, is
asymptomatic, and has never had screening. Which screening is
the most appropriate to recommend now?
,A. Continue to defer screening until age 55 due to age alone
B. Start colorectal cancer screening with a colonoscopy or stool-
based test now
C. Order low-dose CT scan for lung cancer screening
D. Begin PSA testing for prostate cancer annually
Correct Answer: B
Rationale — Correct: Colorectal cancer screening should be
started in average-risk adults beginning in mid-adulthood;
initiating screening at this age reduces mortality. CURRENT
emphasizes offering colonoscopy or stool-based testing options
and shared decision-making.
Rationale — Incorrect:
A. Deferring screening is inappropriate for an average-risk adult
at screening age.
C. Low-dose CT lung screening is for adults with a significant
smoking history; he is asymptomatic with no such history
stated.
D. Routine annual PSA for average-risk men is not universally
recommended without shared decision-making due to
tradeoffs.
Teaching Point: Start age-appropriate cancer screening based
on risk, not deferment.
Citation: Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
,2
Reference: Ch. — Disease Prevention & Health Promotion —
Immunizations in Adults
Question Stem: A 68-year-old woman with chronic obstructive
pulmonary disease presents for primary care. Which
immunization is highest priority to reduce her immediate risk of
severe respiratory infection?
A. Annual inactivated influenza vaccine this season
B. Herpes zoster vaccine (live or recombinant) now
C. A single dose of tetanus-diphtheria booster
D. HPV vaccination series
Correct Answer: A
Rationale — Correct: Annual influenza vaccination is a high-
priority preventive measure for older adults and those with
chronic lung disease because seasonal influenza causes
significant morbidity; CURRENT prioritizes yearly influenza
immunization.
Rationale — Incorrect:
B. Herpes zoster vaccination is recommended for older adults
but does not mitigate acute seasonal respiratory risk.
C. Tetanus boosters are given based on wound/exposure timing
and past schedule; not highest immediate priority.
D. HPV vaccination is targeted to younger persons and not
indicated as priority at age 68.
, Teaching Point: Prioritize annual influenza vaccination for older
adults with chronic lung disease.
Citation: Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
3
Reference: Ch. — Disease Prevention & Health Promotion —
Preventive Counseling & Lifestyle
Question Stem: A 45-year-old woman with BMI 34 kg/m² asks
about cardiovascular risk reduction. Which counseling target
offers the greatest near-term reduction in cardiovascular risk?
A. Advise starting daily multivitamin supplementation
B. Counsel to stop smoking and offer cessation support
C. Recommend adding a low-dose aspirin daily without
discussion
D. Emphasize cosmetic weight loss supplements
Correct Answer: B
Rationale — Correct: Smoking cessation yields immediate and
substantial reductions in cardiovascular risk; CURRENT
highlights cessation interventions as high-impact preventive
measures.
Rationale — Incorrect:
A. Multivitamins do not meaningfully reduce cardiovascular
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 —
Preventive Services & Screening
Question Stem: A 52-year-old man with well-controlled
hypertension asks which cancer screening to prioritize during
today’s visit. He has no family history of colorectal cancer, is
asymptomatic, and has never had screening. Which screening is
the most appropriate to recommend now?
,A. Continue to defer screening until age 55 due to age alone
B. Start colorectal cancer screening with a colonoscopy or stool-
based test now
C. Order low-dose CT scan for lung cancer screening
D. Begin PSA testing for prostate cancer annually
Correct Answer: B
Rationale — Correct: Colorectal cancer screening should be
started in average-risk adults beginning in mid-adulthood;
initiating screening at this age reduces mortality. CURRENT
emphasizes offering colonoscopy or stool-based testing options
and shared decision-making.
Rationale — Incorrect:
A. Deferring screening is inappropriate for an average-risk adult
at screening age.
C. Low-dose CT lung screening is for adults with a significant
smoking history; he is asymptomatic with no such history
stated.
D. Routine annual PSA for average-risk men is not universally
recommended without shared decision-making due to
tradeoffs.
Teaching Point: Start age-appropriate cancer screening based
on risk, not deferment.
Citation: Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
,2
Reference: Ch. — Disease Prevention & Health Promotion —
Immunizations in Adults
Question Stem: A 68-year-old woman with chronic obstructive
pulmonary disease presents for primary care. Which
immunization is highest priority to reduce her immediate risk of
severe respiratory infection?
A. Annual inactivated influenza vaccine this season
B. Herpes zoster vaccine (live or recombinant) now
C. A single dose of tetanus-diphtheria booster
D. HPV vaccination series
Correct Answer: A
Rationale — Correct: Annual influenza vaccination is a high-
priority preventive measure for older adults and those with
chronic lung disease because seasonal influenza causes
significant morbidity; CURRENT prioritizes yearly influenza
immunization.
Rationale — Incorrect:
B. Herpes zoster vaccination is recommended for older adults
but does not mitigate acute seasonal respiratory risk.
C. Tetanus boosters are given based on wound/exposure timing
and past schedule; not highest immediate priority.
D. HPV vaccination is targeted to younger persons and not
indicated as priority at age 68.
, Teaching Point: Prioritize annual influenza vaccination for older
adults with chronic lung disease.
Citation: Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. — Disease Prevention & Health
Promotion.
3
Reference: Ch. — Disease Prevention & Health Promotion —
Preventive Counseling & Lifestyle
Question Stem: A 45-year-old woman with BMI 34 kg/m² asks
about cardiovascular risk reduction. Which counseling target
offers the greatest near-term reduction in cardiovascular risk?
A. Advise starting daily multivitamin supplementation
B. Counsel to stop smoking and offer cessation support
C. Recommend adding a low-dose aspirin daily without
discussion
D. Emphasize cosmetic weight loss supplements
Correct Answer: B
Rationale — Correct: Smoking cessation yields immediate and
substantial reductions in cardiovascular risk; CURRENT
highlights cessation interventions as high-impact preventive
measures.
Rationale — Incorrect:
A. Multivitamins do not meaningfully reduce cardiovascular
