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Colorectal screening in older adult — USMLE Step 3 MCQ

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ModeratePreventive Medicine, Epidemiology, BiostatisticsColorectal screening in older adultUSMLE Step 3

A 79-year-old woman had normal colonoscopies at ages 60 and 70. She has severe COPD requiring oxygen and advanced heart failure. She has no gastrointestinal symptoms. 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: D — Individualize and likely stop routine screening due to limited benefit

CRC screening from ages 76 to 85 is individualized based on prior screening, health status, and life expectancy.

Reference: USPSTF Colorectal Cancer Screening Recommendation