— 健康促進與維護 · EASY · MCQ —
一位 45 歲個案詢問護理師乳房攝影篩檢的建議頻率。根據現行健康促進指南，護理師應給予何種正確回應？
A 45-year-old client asks the nurse about the recommended frequency for screening mammograms. Which response by the nurse is accurate according to current health promotion guidelines?
- AEvery 5 years after menopause停經後每5年一次
- BOnly if a lump is palpable僅在觸及腫塊時進行
- CEvery year starting at age 40從40歲起每年一次
- DEvery 2 years between ages 40 and 74✓ 正解40至74歲之間每2年一次
— Explanation · 中文詳解 —
美國預防服務工作小組 (USPSTF) 指南建議，40至74歲女性應每兩年進行一次乳房攝影篩檢。早期偵測能顯著提高乳癌預後。C 選項較為激進（針對高風險群），A 與 B 則忽略了篩檢旨在偵測無症狀病灶的原則。
The U.S. Preventive Services Task Force (USPSTF) recommends that women aged 40 to 74 undergo screening mammography every two years. Early detection significantly improves breast-cancer prognosis. Option C is more aggressive (intended for high-risk groups), while options A and B ignore the principle that screening is intended to detect asymptomatic lesions.
✦ 台美臨床差異
美國採雙年檢制；台灣健保提供 45-69 歲女性每兩年一次免費攝影，兩國政策在年齡與頻率上高度相似。