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Skin cancer screening — USMLE Step 3 MCQ

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ModerateAmbulatory Medicine / Primary CareSkin cancer screeningUSMLE Step 3

A 55-year-old fair-skinned man with extensive lifetime sun exposure asks about routine full-body skin examination by his primary care physician. He has no personal or family history of melanoma, no changing lesions, and no immunosuppression. Skin examination today shows no suspicious lesions. 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: A — Explain that evidence is insufficient for routine population skin cancer screening

USPSTF finds insufficient evidence to recommend for or against routine clinician visual skin examination for skin cancer screening in asymptomatic average-risk adolescents and adults.

Reference: USPSTF Skin Cancer Screening Recommendation