— 健康促進與維護 · HARD · SATA —
護理師為一名 60 歲個案進行健康評估。下列哪些篩檢是針對此年齡層建議的？（選所有適合的）
A nurse is conducting a wellness assessment for a 60-year-old client. Which screening tests are recommended for this age group? (Select all that apply.)
- AFecal occult blood test (FOBT) annually✓ 正解每年進行糞便潛血檢查 (FOBT)
- BColonoscopy every 10 years✓ 正解每 10 年進行一次大腸鏡檢查
- CMammogram every 5 years每 5 年進行一次乳房攝影
- DBlood pressure screening at every visit✓ 正解每次回診時篩檢血壓
- EAnnual influenza vaccination✓ 正解每年接種流感疫苗
— Explanation · 中文詳解 —
60 歲個案屬於大腸直腸癌篩檢對象（FOBT 每年或大腸鏡每 10 年）。血壓檢查為常規健康篩檢，流感疫苗則是高齡族群維護健康的首要免疫措施。乳房攝影（Mammogram）建議為每 1-2 年一次（非 5 年），故 C 選項錯誤。
A 60-year-old is a target population for colorectal cancer screening (FOBT annually or colonoscopy every 10 years). Blood pressure measurement is a routine health screening item, and the influenza vaccine is the primary immunization measure for maintaining health in the elderly population. Mammography is recommended every 1 to 2 years (not every 5 years), so option C is incorrect.
✦ 台美臨床差異
美國預防服務工作小組（USPSTF）的篩檢指引更新頻繁，台灣健保署提供的成人健康檢查頻率與項目略有不同。