Rosh Internal Medicine Boost Practice Exam

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What preventative service is recommended for a 60-year-old man with no risk factors?

Hepatitis C antibody screen
Live attenuated zoster vaccine
Pneumococcal polysaccharide vaccine 23-valent
Ultrasound of the abdominal aorta

The correct answer is: Hepatitis C antibody screen

The recommended preventative service for a 60-year-old man with no risk factors is the hepatitis C antibody screen. This recommendation stems from guidelines suggesting that adults born between 1945 and 1965 be screened for hepatitis C, as this population has a higher prevalence of the virus. Routine screening is aimed at early detection and treatment of the infection, which can significantly improve health outcomes and reduce complications associated with chronic hepatitis C. While the live attenuated zoster vaccine is indeed important for older adults to prevent shingles, it is more commonly recommended starting at age 50. The pneumococcal polysaccharide vaccine is typically advised for older individuals and those with certain health conditions, but its indication can vary based on specific health factors. The ultrasound for abdominal aortic aneurysm is generally recommended for men aged 65 to 75 who have ever smoked; hence, it would not be indicated in this case without additional risk factors. Overall, the focus on hepatitis C screening reflects an important aspect of preventative care aimed at reducing the incidence of liver disease through early identification and management.