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
Reference
Ch. 1 — Disease Prevention & Health Promotion — Overview
Question Stem
A 58-year-old man with a 30-pack-year smoking history asks
whether he should begin lung-cancer screening. Which criterion
most appropriately determines eligibility for low-dose CT
screening per CMDT guidance?
,Options
A. Age ≥50 with any tobacco exposure ≥10 pack-years
B. Age 50–80 and current smoker or quit ≤15 years with ≥20
pack-years
C. Age 55–80 and current smoker or quit ≤15 years with ≥30
pack-years
D. Age ≥60 and any history of tobacco use
Correct Answer
C
Rationales
• Correct (C): CMDT recommends low-dose CT screening for
adults 55–80 who are current smokers or who quit within
the past 15 years and have a 30+ pack-year history — this
balance of age, recent exposure, and cumulative exposure
optimizes benefit. Google Books+1
• A (incorrect): Age ≥50 with ≥10 pack-years is too
permissive and not the threshold CMDT endorses.
• B (incorrect): Lower pack-year threshold (20) is not the
standard CMDT screening cutoff.
• D (incorrect): Age ≥60 alone without pack-year threshold is
insufficient for eligibility.
Teaching Point
LDCT screening: age 55–80, current or quit ≤15 years, ≥30 pack-
years.
,Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1. Google Books+1
2
Reference
Ch. 1 — Disease Prevention & Health Promotion —
Immunizations
Question Stem
A 70-year-old woman with type 2 diabetes asks which vaccine is
most strongly recommended annually to reduce influenza-
related complications. Which action is best?
Options
A. Give high-dose inactivated influenza vaccine every year
B. Give live attenuated intranasal influenza vaccine once at age
70
C. Give inactivated influenza vaccine only if patient has chronic
pulmonary disease
D. Defer influenza vaccination until next clinic visit because she
is diabetic
Correct Answer
A
Rationales
, • Correct (A): CMDT recommends annual influenza
vaccination for older adults; high-dose inactivated
formulations provide better immunogenicity and are
preferred in older patients to reduce complications.
accessmedicine.mhmedical.com
• B (incorrect): Live intranasal vaccine is generally not
recommended for older adults or those with chronic
conditions.
• C (incorrect): Vaccination is recommended for all older
adults and those with diabetes — not restricted to
pulmonary disease.
• D (incorrect): Deferring increases risk; annual vaccination
should be given now.
Teaching Point
Older adults should receive annual inactivated (high-dose)
influenza vaccination.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
3
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Reference
Ch. 1 — Disease Prevention & Health Promotion — Overview
Question Stem
A 58-year-old man with a 30-pack-year smoking history asks
whether he should begin lung-cancer screening. Which criterion
most appropriately determines eligibility for low-dose CT
screening per CMDT guidance?
,Options
A. Age ≥50 with any tobacco exposure ≥10 pack-years
B. Age 50–80 and current smoker or quit ≤15 years with ≥20
pack-years
C. Age 55–80 and current smoker or quit ≤15 years with ≥30
pack-years
D. Age ≥60 and any history of tobacco use
Correct Answer
C
Rationales
• Correct (C): CMDT recommends low-dose CT screening for
adults 55–80 who are current smokers or who quit within
the past 15 years and have a 30+ pack-year history — this
balance of age, recent exposure, and cumulative exposure
optimizes benefit. Google Books+1
• A (incorrect): Age ≥50 with ≥10 pack-years is too
permissive and not the threshold CMDT endorses.
• B (incorrect): Lower pack-year threshold (20) is not the
standard CMDT screening cutoff.
• D (incorrect): Age ≥60 alone without pack-year threshold is
insufficient for eligibility.
Teaching Point
LDCT screening: age 55–80, current or quit ≤15 years, ≥30 pack-
years.
,Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1. Google Books+1
2
Reference
Ch. 1 — Disease Prevention & Health Promotion —
Immunizations
Question Stem
A 70-year-old woman with type 2 diabetes asks which vaccine is
most strongly recommended annually to reduce influenza-
related complications. Which action is best?
Options
A. Give high-dose inactivated influenza vaccine every year
B. Give live attenuated intranasal influenza vaccine once at age
70
C. Give inactivated influenza vaccine only if patient has chronic
pulmonary disease
D. Defer influenza vaccination until next clinic visit because she
is diabetic
Correct Answer
A
Rationales
, • Correct (A): CMDT recommends annual influenza
vaccination for older adults; high-dose inactivated
formulations provide better immunogenicity and are
preferred in older patients to reduce complications.
accessmedicine.mhmedical.com
• B (incorrect): Live intranasal vaccine is generally not
recommended for older adults or those with chronic
conditions.
• C (incorrect): Vaccination is recommended for all older
adults and those with diabetes — not restricted to
pulmonary disease.
• D (incorrect): Deferring increases risk; annual vaccination
should be given now.
Teaching Point
Older adults should receive annual inactivated (high-dose)
influenza vaccination.
Citation (Simplified APA)
Papadakis et al. (2026). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
3
