— 健康促進與維護 · MEDIUM · MCQ —
護理師為一位 40 歲女性進行健康篩檢諮詢，哪項建議符合當前的預防醫學標準？
A nurse is counseling a 40-year-old client about health screening guidelines. Which recommendation aligns with current preventative health standards?
- ABegin annual mammograms starting at age 40✓ 正解自 40 歲起開始每年進行乳房攝影檢查
- BSchedule a baseline colonoscopy every 5 years每 5 年安排一次基線大腸鏡檢查
- CCheck blood pressure at least once every 2 years至少每 2 年測量一次血壓
- DReceive a Tdap booster every 10 years每 10 年接受一次 Tdap 加強劑注射
— Explanation · 中文詳解 —
根據多數臨床指引，女性應從 40 歲開始與醫師討論乳房攝影篩檢的頻率，通常建議每年或每兩年進行一次。大腸鏡通常從 45 歲開始；Tdap 為單次補強非每十年；血壓建議應更頻繁地在常規檢查時監測，而非兩年一次。
Current preventive health guidelines recommend that women begin discussing annual mammography screening with their healthcare provider at age 40. Other options are incorrect because colonoscopies typically start at age 45, blood pressure should be checked at every routine visit rather than biennially, and Tdap is a single adult booster rather than a decennial requirement.
✦ 台美臨床差異
美國乳房攝影篩檢啟動年齡較早；台灣健保提供 45-69 歲婦女每兩年一次免費攝影。