Which of the following patients would you recommend get a low-dose computed tomography (CT) scan for lung cancer screening?

Prepare for the Dunphy Primary Care Test with flashcards and multiple-choice questions. Each question offers hints and detailed explanations to enhance your understanding. Get ready for your primary care exam!

The recommendation for low-dose computed tomography (CT) scans for lung cancer screening primarily focuses on certain demographics and risk factors associated with lung cancer.

The correct choice pertains to a 65-year-old individual who is currently a smoker and began smoking at the young age of 12. This patient fits the criteria established by guidelines such as those from the U.S. Preventive Services Task Force (USPSTF), which recommend annual screening for lung cancer with low-dose CT for adults aged 50 to 80 years who have a significant smoking history. Specifically, the individual should have at least a 20-pack-year smoking history, which this patient does. Smoking at an early age increases the risk of developing lung cancer later in life, and as they are currently smoking, they remain at a heightened risk.

In contrast, the other patients do not meet the criteria set for lung cancer screening. The 25-year-old with a 10-pack-year history and asthma is too young and does not have a significant smoking history to warrant screening. The 75-year-old with a history of pneumonia may have health concerns but does not have the specific smoking history required for screening. Lastly, while the last patient has a significant 50-pack-year history and quit 20

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