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).

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.


Sep 15, 2020 Issue
Screening for Hepatitis C Virus Infection in Adolescents and Adults
M.S. is a 20-year-old man who presents for a preemployment physical examination. He states that he is single, has two or three drinks per month on social occasions, does not smoke, is sexually active, and does not use illicit drugs.


Aug 15, 2020 Issue
Primary Care Interventions for Prevention and Cessation of Tobacco Use in Children and Adolescents
J.P., a 13-year-old girl, presents to your clinic for a routine well-child visit. She has no acute concerns, is doing well in school, plays sports, and is generally healthy. J.P. reports that she has never used tobacco products, including electronic cigarettes or vaping.


Jun 15, 2020 Issue
Screening for Cognitive Impairment in Older Adults
L.C. is a 70-year-old Asian American woman who retired from teaching middle school five years ago. She lives independently and has a daughter and grandchildren who live within 30 miles of her. She presents for a follow-up visit to renew her hypertension medications. Her blood pressure is well controlled by an angiotensin receptor blocker, and she takes no other medications.


May 15, 2020 Issue
Screening for Abdominal Aortic Aneurysm
A 65-year-old man with no significant medical history presents to your clinic for a wellness visit. His social history includes smoking periodically in his 20s, and his family history includes a father who died from an abdominal aortic aneurysm (AAA) in his 60s. The patient wants to know whether he should be screened for AAA.


Apr 15, 2020 Issue
Screening for Asymptomatic Bacteriuria in Adults
A 33-year-old woman presents to your clinic for a first prenatal visit at 8 weeks' gestation. She reported morning nausea and breast tenderness. Review of systems and physical examination were consistent with early pregnancy but were otherwise unremarkable.


Mar 15, 2020 Issue
Medication Use to Reduce Risk of Breast Cancer
E.F., a 40-year-old woman, comes to your office for a routine gynecologic visit. She is not taking any medications and is generally healthy. She is sexually active, and her last menstrual period started 10 days ago.


Feb 15, 2020 Issue
Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer
A 31-year-old woman presents to your office for a well-woman examination. She is sexually active in a monogamous relationship and has never been pregnant. She tells you that her mother was diagnosed with tubal cancer at age 40 and that her sister, who is 42 years of age, was recently diagnosed with breast cancer.


Jan 15, 2020 Issue
Screening for Hepatitis B Virus in Pregnant Women
A 33-year-old U.S.-born pregnant clinician comes to your office for a first prenatal visit. Her most recent menstrual period was six weeks ago, and she has been taking prenatal vitamins for the past eight weeks. She was pregnant once more than two years ago, and at the time she screened negative for the hepatitis B virus (HBV).


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