護理師評估一位中年成人。建議此年齡層進行哪些篩檢？（選所有適合的）
A nurse is assessing a middle-aged adult. Which screening tests are recommended for this age group? (Select all that apply.)
- ABlood pressure monitoring✓ 正解血壓監測
- BCholesterol screening✓ 正解膽固醇篩檢
- CColorectal cancer screening✓ 正解大腸癌篩檢
- DDevelopmental milestone check發展里程碑檢查
- EDiabetes screening✓ 正解糖尿病篩檢
中年期（Middle-aged adult）是預防代謝性疾病與癌症篩檢的黃金時期。此階段護理的核心在於透過早期偵測，降低慢性病對器官的長期損傷。血壓、膽固醇、大腸癌與糖尿病篩檢均為美國預防醫學工作組（USPSTF）針對此年齡層建議的常規檢查。臨床思路應優先考慮常見且具高致死率的疾病，透過非侵入性篩檢及早介入。
Middle adulthood is the golden window for prevention of metabolic disease and cancer screening. The core of nursing at this stage is to use early detection to reduce long-term organ damage from chronic diseases. Blood pressure, cholesterol, colorectal cancer, and diabetes screening are all routine examinations recommended by the U.S. Preventive Services Task Force (USPSTF) for this age group. The clinical reasoning should prioritize common diseases with high mortality, intervening early through noninvasive screening.
美國非常強調根據 USPSTF 指引進行篩檢，特別是大腸癌篩檢年齡已下修至 45 歲。台灣健保提供的成人健檢項目與美國相比，頻率與項目略有不同，赴美執業需特別留意當地醫療機構對篩檢年齡的具體規範。