Putting Prevention into Practice

This department offers a series of short reports and quizzes based on guidelines issued by the U.S. Preventive Services Task Force (USPSTF).

Nov 1, 2004 Issue
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
Case study: MN, a 25-year-old woman, visits your office for evaluation of insomnia. As part of her social history, she tells you that she is a “social drinker.” Further questioning reveals that she drinks about as much as she did during college. You want to better assess her alcohol use.

Oct 1, 2004 Issue
Screening for Dementia
Case study: RG, a 75-year-old, college-educated man, presents for an annual physical examination. His friend recently was diagnosed with Alzheimer’s disease. RG is concerned about his occasional memory lapses and is worried that he also has the disease.

Aug 1, 2004 Issue
Routine Vitamin Supplementation to Prevent Cancer and Cardiovascular Disease
Case study: JB, a 35-year-old smoker, comes to your office for a well-woman examination. Reviewing her medication list, you learn that she is taking numerous vitamin supplements, including vitamins A, C, E, and beta-carotene.

Jul 1, 2004 Issue
Counseling for Breastfeeding
Case study: BS, a 26-year-old woman in her second trimester of pregnancy, comes to your office for routine prenatal care. She expresses concern because one of her relatives has told her that she should not breastfeed. You want to recommend breastfeeding and wonder how to counsel her.

Apr 1, 2004 Issue
Screening for Prostate Cancer
Case study: DS, a 55-year-old African-American man, comes into your office for a physical examination. While talking about his family history, you learn that his father had prostate cancer. DS asks if he should be tested for prostate cancer.

Mar 1, 2004 Issue
Screening for Gestational Diabetes Mellitus
Case study: MT is a 23-year-old woman visiting your office for her initial prenatal checkup. She has a family history of diabetes and is obese. MT developed gestational diabetes mellitus (GDM) during her previous pregnancy, and because she is concerned about having GDM, she asks if she should be tested.

Feb 1, 2004 Issue
Screening for Type 2 Diabetes Mellitus in Adults
Case study: KC, a 46-year-old woman, visits your office to refill her cholesterol-lowering medication. She says she saw a recent news feature on the “diabetes epidemic” and asks if she needs to be tested.

Jan 1, 2004 Issue
Screening for Osteoporosis in Postmenopausal Women
Case study: PK, a 65-year-old black woman, comes to get her annual influenza vaccination. She says she appreciates your recent visit to her mother, who is recovering from surgery following a hip fracture. PK asks if she should be screened for osteoporosis

Aug 1, 2003 Issue
Screening for Cervical Cancer
Case study: TS, a 24-year-old, sexually active, white woman, visits your office to discuss birth control methods. She first had intercourse at age 16 and smokes two packs of cigarettes per week. You suggest that she be screened for cervical cancer as part of routine health maintenance.

Jul 1, 2003 Issue
Behavioral Counseling in Primary Care to Promote a Healthy Diet
Case study: More than 80 percent of Americans eat fewer than the recommended number of daily servings of fruit, vegetables, and grain products. Furthermore, they receive more than the recommended proportions of daily calories from saturated fat and total fat. You contemplate incorporating healthy diet counseling into the preventive care protocol for your practice.

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