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.

Jan 01, 2022 Issue
Screening for Prediabetes and Type 2 Diabetes Mellitus
A 36-year-old, D.P., presents to your clinic as a new patient for a wellness visit. D.P. has no current health concerns but states that they had gestational diabetes during their last pregnancy three years ago. The patient reports that their father has diabetes mellitus and takes insulin. D.P.'s body mass index is 26 kg per m2, and pulse and blood pressure are normal.

Dec 01, 2021 Issue
Screening for Gestational Diabetes
A 28-year-old South Asian patient at 30 weeks' gestation, S.F., presents to transfer prenatal care to your clinic. The patient has recently moved, and prenatal records indicate that S.F.'s most recent prenatal visit was at 22 weeks' gestation. This is the patient's first pregnancy. S.F. states that they have not been screened for gestational diabetes mellitus.

Nov 01, 2021 Issue
Screening for Vitamin D Deficiency in Adults
A 49-year-old Black man with a history of hypertension, type 2 diabetes mellitus, and class I obesity (body mass index of 31.4 kg per m2) presents for a wellness examination. The patient's hypertension and diabetes are well controlled with lisinopril and metformin; they do not take any other medications. The patient feels well today, with no health complaints and a negative review of systems. The patient tells you that they recently read an online article about vitamin D and is concerned they might have a low vitamin D level.

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.

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