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UC Surveillance Colonoscopy — RACP Adult Medicine MCQ

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HardGastroenterologyUC Surveillance ColonoscopyRACP Adult Medicine

A 69-year-old asymptomatic current smoker has a 42 pack-year history and can undergo curative treatment if cancer is found. He has never participated in screening. Which Australian pathway applies?

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

Reveal the answer and explanation

Correct answer: CRegister for biennial low-dose CT under the national screening program

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

E is correct. He is 50–70, asymptomatic, currently smokes and exceeds 30 pack-years, so he meets the National Lung Cancer Screening Program criteria for biennial LDCT. A and C are ineffective screening strategies. B confuses screening with diagnostic imaging. D eligibility continues through age 70 and ends when the person turns 71.

Reference: Australian Government Department of Health, National Lung Cancer Screening Program: https://www.health.gov.au/our-work/nlcsp/how-it-works?language=en