skip to main content

Colorectal Cancer Screening — ABFM Board MCQ

Instant feedback + full explanation. One question, done properly.

EasyGastroenterologyColorectal Cancer ScreeningABFM Board

A 46-year-old average-risk adult presents to establish care. She has never undergone colorectal cancer screening. What is the most appropriate next step?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: A — Initiate colorectal cancer screening now (e.g., colonoscopy every 10 years or annual FIT)

USPSTF recommends starting colorectal cancer screening at age 45 for average-risk adults using any approved strategy (e.g., colonoscopy every 10 years, annual FIT). Deferral to 50 and restricting to symptoms are incorrect; multiple modalities are acceptable, not just CT colonography; stool DNA (FIT-DNA) is typically every 1-3 years, not 10.

Reference: USPSTF Recommendation (2021): Colorectal Cancer Screening