Prevention Case Table and Timeline
Stefany Reed
College of Nursing and Health Innovation, University of Texas at Arlington
NURS 5434 Family III
Dr. Bethany McClean,
2026
SCREENING TESTS Indicate A or B Recommendation
(or other if you believe it is
indicated) PLUS Rationale for this
patient
Cervical Cancer: Screening – women Recommendation: A – USPSTF
aged 21-65 years recommends women from ages 21-29
a cervical cancer screening every 3
years with cervical cytology. Women
from the ages 30-65 are
recommended every 3 years with
cervical cytology or every 5 years
with hrHPV in combination of cervical
cytology.
Tool: Pap smear
, Rationale: Ms. Henderson’s last pap
smear is greater than 3 years ago. She
is due to have cervical cancer with
cervical cytology screening. Based on
her ex-husband’s recent infidelity, it
would be best to do the pap smear
with HPV testing due to potential STI
exposure. She would be able to
continue her screening every 5 years
on ward.
Human Immunodeficiency Virus (HIV) Recommendation: A – USPSTF
Infection: Screening – Adolescents and recommends ages of 15-65 for HIV
adults aged 15-65 years screening based on clinical
considerations and risks. Populations
younger than 15 and older than 65
should be screened if they have risk
factors for HIV.
Tool: antigen/antibody immunoassay
Rationale: Ms. Henderson’s is
concerned about STI testing due to her
ex-husband’s infidelity. She is
concerned she may have an STI. Other
risk factors for HIV include anal
intercourse without a condom, having
vaginal intercourse without a condom
and with more than 1 partner whose
HIV status is unknown. Considering
we do not know the STI status of the
person Ms. Henderson’s ex-husband
was involved with. Her race has a
higher risk for HIV infection. In 2018,
42% of Blacks were infected with HIV
out of 37,968 newly diagnosed, with
11% being female reported by the
CDC.
Chlamydia and Gonorrhea: screening – Recommendation: B – USPSTF
sexually active women, including pregnant recommends any women who are
persons sexually active, screen for Chlamydia
and Gonorrhea younger than 24 years
old and in women older than 25 who
are at higher risk for infection.
, Tool: urine test or vaginal/cervical
swab
Rationale: Ms. Henderson is
concerned about an STI due to her ex-
husband’s infidelity. GSC is part of the
STI testing. Women greater than 25
are at higher risk due to inconsistent
use of a condom with their significant
other or have an increased risk
multiple concurrent sex partners.
Syphilis Infection in Nonpregnant Recommendation: A – USPSTF
Adolescents and Adults recommends screen for syphilis in
persons of higher risk.
Tool: Rapid Plasma Reagin test and T
pallidum particle agglutination (TP-
PA) test
Rationale: Ms. Henderson is
concerned about STIs due to her
husband’s infidelity. She is at a higher
risk due to her race. Blacks tend to
have a higher infection rate, with 4.7
times more than whites reported in
2018 by the CDC.
Hepatitis B Virus Infection in Recommendation: B – USPSTF
Adolescents and Adults: Screening – recommends screening adolescent
Adolescents and adults at increased risk and adults who are at risk for
for infection infection
Tool: HBsAg blood test
Rationale: Ms. Henderson is
concerned about STIs due to her ex-
husband’s infidelity. Hep B can be
transmitted through blood or sexual
contact. Also, Ms. Henderson’s
vaccination record does not indicate
she has a had the Hep B vaccine. She is
at an increased risk for infection.
Hepatitis C Virus Infection in Adolescents Recommendation: B – USPSTF
and Adults: Screening – Adults aged 18-79 recommends screening for Hep C in
years adults 18-79 years of age.
Tool: anti-HCV antibody blood test
Stefany Reed
College of Nursing and Health Innovation, University of Texas at Arlington
NURS 5434 Family III
Dr. Bethany McClean,
2026
SCREENING TESTS Indicate A or B Recommendation
(or other if you believe it is
indicated) PLUS Rationale for this
patient
Cervical Cancer: Screening – women Recommendation: A – USPSTF
aged 21-65 years recommends women from ages 21-29
a cervical cancer screening every 3
years with cervical cytology. Women
from the ages 30-65 are
recommended every 3 years with
cervical cytology or every 5 years
with hrHPV in combination of cervical
cytology.
Tool: Pap smear
, Rationale: Ms. Henderson’s last pap
smear is greater than 3 years ago. She
is due to have cervical cancer with
cervical cytology screening. Based on
her ex-husband’s recent infidelity, it
would be best to do the pap smear
with HPV testing due to potential STI
exposure. She would be able to
continue her screening every 5 years
on ward.
Human Immunodeficiency Virus (HIV) Recommendation: A – USPSTF
Infection: Screening – Adolescents and recommends ages of 15-65 for HIV
adults aged 15-65 years screening based on clinical
considerations and risks. Populations
younger than 15 and older than 65
should be screened if they have risk
factors for HIV.
Tool: antigen/antibody immunoassay
Rationale: Ms. Henderson’s is
concerned about STI testing due to her
ex-husband’s infidelity. She is
concerned she may have an STI. Other
risk factors for HIV include anal
intercourse without a condom, having
vaginal intercourse without a condom
and with more than 1 partner whose
HIV status is unknown. Considering
we do not know the STI status of the
person Ms. Henderson’s ex-husband
was involved with. Her race has a
higher risk for HIV infection. In 2018,
42% of Blacks were infected with HIV
out of 37,968 newly diagnosed, with
11% being female reported by the
CDC.
Chlamydia and Gonorrhea: screening – Recommendation: B – USPSTF
sexually active women, including pregnant recommends any women who are
persons sexually active, screen for Chlamydia
and Gonorrhea younger than 24 years
old and in women older than 25 who
are at higher risk for infection.
, Tool: urine test or vaginal/cervical
swab
Rationale: Ms. Henderson is
concerned about an STI due to her ex-
husband’s infidelity. GSC is part of the
STI testing. Women greater than 25
are at higher risk due to inconsistent
use of a condom with their significant
other or have an increased risk
multiple concurrent sex partners.
Syphilis Infection in Nonpregnant Recommendation: A – USPSTF
Adolescents and Adults recommends screen for syphilis in
persons of higher risk.
Tool: Rapid Plasma Reagin test and T
pallidum particle agglutination (TP-
PA) test
Rationale: Ms. Henderson is
concerned about STIs due to her
husband’s infidelity. She is at a higher
risk due to her race. Blacks tend to
have a higher infection rate, with 4.7
times more than whites reported in
2018 by the CDC.
Hepatitis B Virus Infection in Recommendation: B – USPSTF
Adolescents and Adults: Screening – recommends screening adolescent
Adolescents and adults at increased risk and adults who are at risk for
for infection infection
Tool: HBsAg blood test
Rationale: Ms. Henderson is
concerned about STIs due to her ex-
husband’s infidelity. Hep B can be
transmitted through blood or sexual
contact. Also, Ms. Henderson’s
vaccination record does not indicate
she has a had the Hep B vaccine. She is
at an increased risk for infection.
Hepatitis C Virus Infection in Adolescents Recommendation: B – USPSTF
and Adults: Screening – Adults aged 18-79 recommends screening for Hep C in
years adults 18-79 years of age.
Tool: anti-HCV antibody blood test
