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Colorectal cancer screening — MCCQE Part 1 MCQ

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ModerateScreeningColorectal cancer screeningMCCQE Part 1

A 61-year-old asymptomatic man with no family history of colorectal cancer asks about screening. Which of the following is the most appropriate next step?

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Correct answer: D — Offer FIT or FOBT-based colorectal cancer screening according to the provincial programme

Offer FIT or FOBT-based colorectal cancer screening according to the provincial programme is the single best answer because the age, timing, examination findings and investigations in the vignette fit Colorectal cancer screening better than the alternatives. The most tempting distractor is less appropriate because it either treats a neighbouring presentation, delays a time-critical intervention, or ignores a key discriminator in the stem. The remaining options are suboptimal because they would miss the diagnosis, use an investigation or treatment in the wrong sequence, or fail to address safety and follow-up. Canadian practice should be anchored to CTFPHC colorectal cancer screening guidance, with attention to acuity, safety-netting and local provincial pathways.

Reference: CTFPHC colorectal cancer screening guidance