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PSM · Concept of health and disease: stage of susceptibility
Sample itemIn the natural history of disease, which level of prevention is appropriate during the stage of susceptibility, before the disease process has begun?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Primary prevention
The stage of susceptibility precedes pathogenesis, so health promotion and specific protection can stop the disease from starting. This is primary prevention. Secondary prevention acts in the presymptomatic and early clinical stages.
Option by option
A. Tertiary prevention
Tertiary prevention limits disability and applies to established disease.
B. Primary prevention (correct)
Correct. Acting before the disease starts is primary prevention.
C. Secondary prevention
Secondary prevention needs a disease process already present, as in early diagnosis.
D. Rehabilitation only
Rehabilitation is a component of tertiary prevention after damage has occurred.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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