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NAFLD Fibrosis Assessment — RACP Adult Medicine MCQ

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HardGastroenterology & HepatologyNAFLD Fibrosis AssessmentRACP Adult Medicine

A reliable 46-year-old has pure stage I seminoma after radical orchidectomy, normal post-operative markers and no radiological metastases. He prioritises avoiding treatment toxicity and accepts structured follow-up. What is the preferred approach?

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Correct answer: E — Active surveillance using the Australian follow-up schedule

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

A is correct. Active surveillance is preferred for a reliable stage I seminoma patient because cure remains extremely high and relapse is usually salvageable while most avoid unnecessary treatment. B and E are excessive. C is not routine for seminoma. D radiotherapy exposes many cured patients to avoidable late second-cancer and cardiovascular toxicity.

Reference: Cancer Council Australia, Testicular cancer: https://www.cancer.org.au/types-of-cancer/testicular-cancer