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Breast cancer screening — MCCQE Part 1 MCQ

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ModeratePreventive MedicineBreast cancer screeningMCCQE Part 1

A 52-year-old woman at average risk asks about breast cancer screening. She has no breast symptoms and no family history of breast or ovarian cancer. Which of the following is the most appropriate counselling?

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Correct answer: A — Discuss mammography screening benefits and harms within Canadian/provincial age-based programmes using shared decision-making

Average-risk breast screening in Canada is programme-based and preference-sensitive, with provincial implementation and evolving national guidance. Mammography is the screening tool, while MRI is reserved for selected high-risk patients. Tumour markers and biopsy are not screening tests for asymptomatic average-risk patients.

Reference: CTFPHC Breast Cancer Screening guidance; provincial breast screening programmes