— 健康促進與維護 · EASY · MCQ —
對一位 30 歲女性而言，下列何者是健康促進的關鍵？
Which of the following is a key component of health promotion for a 30-year-old female?
- ADaily screening for colon cancer每日大腸癌篩檢
- BRoutine bone density scan常規骨密度掃描
- CAnnual pelvic exam and Pap smear as recommended✓ 正解依建議進行年度骨盆檢查和子宮頸抹片檢查
- DWeekly blood pressure screening by a physician每週由醫師進行血壓篩檢
— Explanation · 中文詳解 —
針對 30 歲女性的健康促進，需依據美國婦產科醫師學會（ACOG）及相關預防服務工作小組（USPSTF）的建議。此階段的健康維護重點包括子宮頸抹片（Pap smear）篩檢，以早期發現人類乳突病毒（HPV）相關的細胞病變。其他選項如大腸癌篩檢通常始於 45 歲，骨密度掃描則針對更年期後或高危險群，每週由醫師測量血壓則不符合成本效益且非臨床常規。
Health promotion for a 30-year-old female includes annual pelvic exams and Pap smears as recommended to screen for cervical cancer and HPV-related changes. Colon cancer screening typically begins at age 45, bone density scans are reserved for older adults or high-risk groups, and weekly physician blood pressure screenings are not standard clinical practice.
✦ 台美臨床差異
台灣健保提供 30 歲以上女性每年一次免費子宮頸抹片檢查，而美國則多依據保險給付與醫囑，採 3-5 年一次的 HPV/Pap 聯合篩檢，兩者頻率有所不同。