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Colorectal cancer symptoms — ABFM Board MCQ

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ModerateGI/HepatologyColorectal cancer symptomsABFM Board

A 63-year-old man reports 3 months of change in bowel habits, intermittent rectal bleeding, and unintentional weight loss. His last colonoscopy was 12 years ago. Which of the following is the most appropriate next step?

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Correct answer: B — Diagnostic colonoscopy

Rectal bleeding, weight loss, and altered bowel habits in an older adult require diagnostic colonoscopy rather than screening alone.

Reference: USPSTF A and B Recommendations: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations