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Colorectal cancer screening — USMLE Step 3 MCQ

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HardPreventive Medicine, Epidemiology, BiostatisticsColorectal cancer screeningUSMLE Step 3

A 46-year-old man at average colorectal-cancer risk asks which option is appropriate if he prefers a noninvasive test and would complete colonoscopy after an abnormal result. Which plan is best?

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Correct answer: B — Annual fecal immunochemical testing

Annual FIT is an accepted colorectal-cancer screening strategy for an average-risk adult aged 45 to 75. CEA, CT, symptom-driven sigmoidoscopy, and rectal examination are not substitutes for a recommended screening strategy.

Reference: USPSTF, Colorectal Cancer Screening: https://www.uspreventiveservicestaskforce.org/uspstf/recommendation/colorectal-cancer-screening