AFP DEPARTMENT COLLECTION
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). See also the collection of selected editorial content related to the U.S. Preventive Services Task Force recommendations.
Oct 01, 2021 Issue
Healthy Diet and Physical Activity for Cardiovascular Disease Prevention in Adults with Cardiovascular Risk Factors
A 36-year-old patient, L.B., with a history of hypertension presents for a wellness visit. The patient's mother had a stroke at 65 years of age and the patient's older brother recently had a heart attack. L.B. has an estimated 10-year cardiovascular risk of 6%, and L.B.'s body mass index is 29 kg per m2.
Sep 01, 2021 Issue
Screening for Colorectal Cancer
A 47-year-old patient presents for a routine physical examination. The patient does not have a history of colorectal cancer, inflammatory bowel disease, or adenomatous polyps or a family history of colorectal cancer. The patient's body mass index is 29 kg per m2, and the A1C level at their last visit was 5.9%. The patient has not been screened for colorectal cancer in prior visits.
Aug 01, 2021 Issue
Screening for Hypertension in Adults
A 23-year-old patient, M.C., comes to your office for a wellness visit with no concerns. On reviewing the patient's medical record, you note that M.C. has a history of polycystic ovary syndrome, blood pressure of 110/70 mm Hg from a visit one year ago, and a body mass index of 28.2 kg per m2.
Jul 01, 2021 Issue
Screening for Lung Cancer
S.J., a 68-year-old Black man, comes to your office to establish care after recently moving to the area. S.J. has a history of allergic rhinitis, osteoarthritis, and gastroesophageal reflux disease. Additionally, he has a 39-pack-year history of smoking but quit six years ago.
Jun 15, 2021 Issue
Interventions for Tobacco Smoking Cessation in Adults, Including Pregnant Persons
A 27-year-old patient, R.C., with a history of generalized anxiety disorder presents for a wellness examination. R.C. previously smoked a pack of cigarettes per day but has cut down to half a pack per day and started using electronic cigarettes (e-cigarettes) and is interested in eventually quitting the use of tobacco products.
May 15, 2021 Issue
Screening for Asymptomatic Carotid Artery Stenosis
A 67-year-old man comes to your office for a regularly scheduled visit. He has type 2 diabetes mellitus and a 40-pack-year smoking history, but he quit smoking two years ago. He takes lisinopril and atorvastatin (Lipitor); his blood pressure today is normal.
Apr 15, 2021 Issue
Screening for Hepatitis B Virus Infection in Adolescents and Adults
A 15-year-old adolescent, J.M., presents for a well-child examination. J.M. was born in Central America before moving to the United States eight years ago with their family. J.M. reports that their older sibling, who lives at home, was diagnosed with hepatitis B virus infection last month.
Mar 15, 2021 Issue
Screening for High Blood Pressure in Children and Adolescents
A 10-year-old boy with obesity and a family history significant for hypertension and hyperlipidemia presents to your clinic for a well-child examination. The parents are concerned about their child 's risk for hypertension and ask whether they should be monitoring his blood pressure.
Nov 15, 2020 Issue
Behavioral Counseling Interventions to Prevent Sexually Transmitted Infections
A 24-year-old cisgender woman presents to your primary care clinic for a routine physical examination. Her only medication is an etonogestrel (Implanon) 68-mg implant for birth control. She reports occasional vaping of electronic cigarettes and states that she does not drink alcohol or inject drugs. Her sexual history includes three male partners in the past year and inconsistent condom use.
Oct 15, 2020 Issue
Primary Care–Based Interventions to Prevent Illicit Drug Use in Children, Adolescents, and Young Adults
M.P. is a 14-year-old patient who comes to your office for a well-child visit. After taking a history and conducting a physical examination, you conclude that the patient is doing well. M.P. eats a healthy diet at home and is part of a local soccer league.