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Aortic aneurysm screening — ABIM Board MCQ

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HardCardiovascularAortic aneurysm screeningABIM Board

A 67-year-old man has never smoked and has no family history of abdominal aortic aneurysm. He is healthy and asks whether he needs screening. Which response is best?

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Correct answer: C — Offer selective ultrasound based on individual risk and preferences

For men aged 65 to 75 years who have never smoked, USPSTF recommends selective rather than universal one-time ultrasonography based on individual risk and preferences. This differs from the stronger recommendation for men who have ever smoked.

Reference: USPSTF: Abdominal Aortic Aneurysm Screening: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/abdominal-aortic-aneurysm-screening