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COPD — RACP Adult Medicine MCQ

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HardRespiratoryCOPDRACP Adult Medicine

A 70-year-old asymptomatic current smoker has a 35 pack-year history and remains fit for curative lung-cancer treatment. He asks whether Australia’s national screening program applies. What is the correct advice?

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

Reveal the answer and explanation

Correct answer: B — Offer biennial low-dose CT until age 71 while eligibility persists

Explanation lettering: B = shown as A · D = shown as B · A = shown as D

D is correct. The program includes eligible people aged 50–70 and ceases when they turn 71; screening is biennial LDCT. E and B are ineffective screening strategies. A confuses asymptomatic screening with diagnostic imaging. C misstates the upper-age boundary.

Reference: Australian Government Department of Health, National Lung Cancer Screening Program guideline consultation: https://consultations.health.gov.au/hearing-and-program-support-division/nlcsp-guidelines/