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AAA screening in low-risk woman — USMLE Step 3 MCQ

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ModeratePreventive Medicine, Epidemiology, BiostatisticsAAA screening in low-risk womanUSMLE Step 3

A 64-year-old woman asks about screening for abdominal aortic aneurysm. She has never smoked and has no family history of aneurysm. Her husband recently had aneurysm repair. Physical examination is normal. Which of the following is the most appropriate screening recommendation?

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Correct answer: E — No routine abdominal aortic aneurysm screening

Routine AAA screening is recommended for men aged 65-75 who have ever smoked. Evidence is insufficient for women aged 65-75 who have ever smoked or have family history, and screening is not recommended for women who never smoked and have no family history.

Reference: USPSTF Abdominal Aortic Aneurysm Screening Recommendation