Cancer Screening IBD — RACP Adult Medicine MCQ
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Correct answer: B — Provide sun-protection counselling and arrange regular skin examination for keratinocyte and melanoma risk
The best answer is “Provide sun-protection counselling and arrange regular skin examination for keratinocyte and melanoma risk”. Immunosuppressed IBD patients have increased skin-cancer risk, making sun protection and periodic skin examination important, while ordinary age-, sex- and organ-specific screening continues. Biologic control does not erase colitis-associated colorectal risk. Whole-body CT and invented high-frequency organ screening add harm without evidence.
Reference: Gastroenterological Society of Australia: Clinical practice resources for inflammatory bowel disease: https://gesa.org.au/Web/Resources/Clinical_Practice_Resources.aspx Cancer Council Australia: Cancer screening: https://www.cancer.org.au/cancer-information/causes-and-prevention/early-detection-and-screening