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Cancer Screening Principles — ABIM Board MCQ

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HardPreventive MedicineCancer Screening PrinciplesABIM Board

A healthy 78-year-old average-risk woman asks whether national guidance recommends routine mammography. What is the best response?

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Correct answer: D — Discuss uncertainty of routine screening at age 75 or older

USPSTF concludes that evidence is insufficient to assess the benefits and harms of breast-cancer screening for average-risk women aged 75 years or older. Decisions should therefore be individualized rather than automatic.

Reference: USPSTF: Breast Cancer Screening: https://www.uspreventiveservicestaskforce.org/uspstf/document/ClinicalSummaryFinal/breast-cancer-screening