AANPCB Health Promotion and Disease Prevention 1 — Questions and Answers
Question 1: Which immunization is recommended annually for all adults regardless of age or health status?
- Pneumococcal vaccine
- Influenza vaccine (Correct answer)
- Tdap booster
- Hepatitis B series
Correct answer: Influenza vaccine
The CDC recommends annual influenza vaccination for all persons aged 6 months and older, including every adult regardless of age.
Question 2: According to the USPSTF, at what age should average-risk adults begin colorectal cancer screening?
- 40 years
- 45 years (Correct answer)
- 50 years
- 55 years
Correct answer: 45 years
The USPSTF updated its recommendation in 2021 to begin colorectal cancer screening at age 45 for average-risk adults.
Question 3: A nurse practitioner is counseling a patient on cardiovascular disease prevention. Which single lifestyle modification has the greatest evidence for reducing overall cardiovascular risk?
- Increasing dietary fiber intake
- Smoking cessation (Correct answer)
- Reducing sodium intake
- Initiating a low-fat diet
Correct answer: Smoking cessation
Smoking cessation is the single most impactful modifiable lifestyle change for reducing cardiovascular disease morbidity and mortality.
Question 4: In the Transtheoretical Model of behavior change, which stage describes a patient who has no intention of changing their behavior in the next 6 months?
- Contemplation
- Precontemplation (Correct answer)
- Preparation
- Maintenance
Correct answer: Precontemplation
Precontemplation is the stage in which the individual is not considering change and may be unaware that a problem exists.
Question 5: Current USPSTF guidelines recommend cervical cancer screening beginning at age 21 using which method?
- HPV co-testing every 3 years
- Pap smear every 3 years (Correct answer)
- Annual Pap smear
- HPV testing alone every 5 years
Correct answer: Pap smear every 3 years
For women aged 21–29, the USPSTF recommends Pap smear (cytology) alone every 3 years; HPV testing is not recommended in this age group.
Question 6: According to standard classification, at which BMI threshold is a patient considered obese (Class I)?
- 25.0–29.9 kg/m²
- 30.0–34.9 kg/m² (Correct answer)
- 35.0–39.9 kg/m²
- ≥40.0 kg/m²
Correct answer: 30.0–34.9 kg/m²
A BMI of 30.0–34.9 kg/m² defines Class I obesity according to CDC and WHO classification.
Question 7: Which vitamin supplementation is recommended for all women of childbearing potential to reduce the risk of neural tube defects?
- Vitamin D 1000 IU daily
- Folic acid 400–800 mcg daily (Correct answer)
- Iron 27 mg daily
- Calcium 1000 mg daily
Correct answer: Folic acid 400–800 mcg daily
The USPSTF recommends daily folic acid 400–800 mcg for all women planning or capable of pregnancy to prevent neural tube defects.
AANPCB Health Promotion and Disease Prevention 1
Which immunization is recommended annually for all adults regardless of age or health status?