skip to main content

Prostate cancer screening — MCCQE Part 1 MCQ

Instant feedback + full explanation. One question, done properly.

ModeratePreventive MedicineProstate cancer screeningMCCQE Part 1

A 58-year-old asymptomatic man at average risk asks whether he should have PSA screening. He has no urinary symptoms and no family history of prostate cancer. Which of the following is the most appropriate response?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: E — Discuss potential benefits and harms; do not order routine PSA screening automatically

Canadian preventive guidance recommends against routine PSA screening for average-risk men, but clinicians should discuss harms, overdiagnosis and patient preferences when patients ask. Biopsy is diagnostic after risk assessment, not a screening test. PSA can lead to false positives and over-treatment.

Reference: CTFPHC Prostate Cancer Screening Guideline