Am Fam Physician. 2024;110(5):527-528
Author disclosure: No relevant financial relationships.
CASE STUDY
A 38-year-old woman presents as a new patient for a wellness visit. She has a history of hypertension that is well controlled with lisinopril, is overweight with a body mass index of 26 kg/m2, and has smoked one pack of cigarettes per day for the past 15 years. She does not report having headaches, chest pain, wheezing, cough, or shortness of breath. The remaining review of systems is negative. Vital signs and physical examination results are normal.
CASE STUDY QUESTIONS
1. According to the US Preventive Services Task Force (USPSTF) recommendation statement on screening for chronic obstructive pulmonary disease (COPD), which of the following are recommended for this patient?
A. Screen her for COPD due to her smoking history.
B. Counsel her about smoking cessation and offer pharmacotherapy to help her quit smoking.
C. Do not screen her for COPD because she has not smoked one pack of cigarettes per day for 20 years or more.
D. Do not screen her for COPD because she is not reporting any symptoms.
2. The patient wants to know whether being screened for COPD would benefit her because she smokes. According to the USPSTF recommendation statement, which one of the following describes how she should be counseled?
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