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Prostate cancer screening — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareProstate cancer screeningUSMLE Step 3

A 55-year-old man with no urinary symptoms asks about prostate cancer screening. His father developed prostate cancer at age 78. He has a life expectancy over 10 years and wants to understand benefits and harms. Which of the following is the most appropriate screening recommendation?

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

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Correct answer: E — Discuss PSA-based screening using shared decision-making

PSA screening for many men aged 55 to 69 is preference-sensitive and should follow shared decision-making.

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