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Colorectal cancer screening — MCCQE Part 1 MCQ

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EasyPreventive MedicineColorectal cancer screeningMCCQE Part 1

A 55-year-old man at average risk has no bowel symptoms and no family history of colorectal cancer. He has never been screened. Which of the following is the most appropriate recommendation?

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Correct answer: D — Offer colorectal cancer screening with FIT/FOBT every 2 years or flexible sigmoidoscopy where programme-supported

Canadian preventive guidance recommends colorectal cancer screening for average-risk adults in the eligible age range using stool testing or flexible sigmoidoscopy depending programme. Colonoscopy is used for positive tests, higher-risk patients or diagnostic indications, not monthly screening. CEA and CT are not primary screening tools.

Reference: CTFPHC Colorectal Cancer Screening Guideline; provincial colorectal screening programmes