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健康促進與維護 · MEDIUM · MCQ

護理師為一位 30 歲女性進行健康評估。基於現行指引,下列哪項篩檢項目最適合此年齡層?

A nurse is conducting a wellness assessment for a 30-year-old female. Which screening test is appropriate for this age group based on current guidelines?

  • ACervical cancer screening every 3 to 5 years✓ 正解
    每 3 至 5 年進行一次子宮頸癌篩檢
  • BBone density screening
    骨密度篩檢
  • CAnnual mammogram
    年度乳房攝影檢查
  • DFecal occult blood test
    糞便潛血測試
Explanation · 中文詳解

依美國婦產科醫學會(ACOG)與 USPSTF 指引:A. 子宮頸癌篩檢——21 歲開始;21-29 歲每 3 年抹片;30-65 歲可選擇每 3 年抹片、或每 5 年抹片+HPV 共篩。30 歲女性應做此項。其他選項:C. 例行乳房攝影通常 40-50 歲開始(部分指引建議與醫師討論個人風險,40 歲可考慮);C. 骨密度篩檢通常 65 歲以上女性開始;D. 糞便潛血篩檢(FOBT)45 歲開始。

Per ACOG and USPSTF guidelines: B. Cervical cancer screening—begins at age 21; ages 21-29, Pap test every 3 years; ages 30-65, may choose either Pap every 3 years or Pap + HPV co-test every 5 years. A 30-year-old female should have this screening. Other options: A. Routine mammography usually begins at age 40-50 (some guidelines suggest discussing personal risk with a provider, with consideration at age 40); C. Bone density screening usually begins for women over age 65; D. Fecal occult blood testing (FOBT) begins at age 45.

✦ 台美臨床差異

台灣針對 30 歲以上女性提供免費每年一次抹片,美國則依保險及風險調整頻率,且現行重視 HPV 共同檢測。

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