A 34-year-old woman reports that her mother had ovarian cancer at age 48 and her maternal aunt had breast cancer at age 42. She is asymptomatic.

Question

A 34-year-old woman reports that her mother had ovarian cancer at age 48 and her maternal aunt had breast cancer at age 42. She is asymptomatic. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Use a brief familial risk assessment tool and refer for genetic counseling if positive

Answer

Defer assessment until age 50

Answer

Order screening mammography every month

Answer

Perform prophylactic mastectomy without counselling

Answer

Use CA-125 as population screening

Family history BRCA risk — USMLE Step 3 MCQ

A 34-year-old woman reports that her mother had ovarian cancer at age 48 and her maternal aunt had breast cancer at age 42. She is asymptomatic. Which of the following is the most appropriate screening recommendation?