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Prostate Cancer Screening — MRCGP AKT MCQ

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HardPreventive MedicineProstate Cancer ScreeningMRCGP AKT

An asymptomatic 52-year-old asks for a PSA test after reading about prostate cancer. Examination reveals no red flags. What is the most appropriate approach?

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

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Correct answer: D — Offer PSA testing after an informed discussion

The UK has no organised PSA population-screening programme, but an asymptomatic person aged 50 or over may choose PSA testing after an informed discussion. This should cover false positives, false negatives, overdiagnosis and possible downstream biopsy or treatment. MRI is not the initial screening substitute.

Reference: NHS: PSA testing and informed choice. https://www.nhs.uk/conditions/prostate-cancer/psa-testing/; GOV.UK: prostate cancer risk management programme information for GPs. https://www.gov.uk/guidance/prostate-cancer-risk-management-programme-overview