skip to main content

Post-polypectomy surveillance — USMLE Step 3 MCQ

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

ModerateAmbulatory Medicine / Primary CarePost-polypectomy surveillanceUSMLE Step 3

A 58-year-old man had colonoscopy 3 years ago showing one 6-mm tubular adenoma with low-grade dysplasia, completely removed. Bowel preparation was adequate. He has no family history of colorectal cancer. Which of the following would you recommend at the follow-up visit?

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

Reveal the answer and explanation

Correct answer: A — Plan surveillance colonoscopy at 7 to 10 years after the prior examination

One to two small low-risk tubular adenomas generally require surveillance colonoscopy in 7 to 10 years.

Reference: US Multi-Society Task Force Post-Polypectomy Surveillance Guideline