Question

A 62-year-old man with mild lower urinary tract symptoms asks to have a PSA test to screen for prostate cancer. He has no family history of prostate cancer and no red flag symptoms. According to the Canadian Task Force on Preventive Health Care, what is the most appropriate response?

Accepted Answer

Explain that routine PSA screening is not recommended and discuss potential harms and small uncertain benefits

Answer

Routinely order a PSA test every year from now on

Answer

Order PSA and digital rectal examination as part of annual screening

Answer

Order a PSA test only if his symptoms worsen

Answer

Order prostate MRI as first-line screening instead of PSA

Practice question

A 62-year-old man with mild lower urinary tract symptoms asks to have a PSA test to screen for prostate cancer. He has no family history of prostate cancer and no red flag symptoms. According to the Canadian Task Force on Preventive Health Care, what is the most appropriate response?