A 45-year-old man has no bowel symptoms, personal history of polyps, inflammatory bowel disease, or family history of a hereditary colorectal-cancer

Question

A 45-year-old man has no bowel symptoms, personal history of polyps, inflammatory bowel disease, or family history of a hereditary colorectal-cancer syndrome. He has never been screened. Which preventive plan is best?

Accepted Answer

Offer an accepted colorectal-cancer screening strategy now

Answer

Order abdominal CT every five years as the screening test

Answer

Perform colonoscopy only after a positive digital rectal examination

Answer

Defer screening until age 50 unless rectal bleeding develops

Answer

Arrange annual carcinoembryonic-antigen testing as the screening test

Average-risk colorectal cancer screening — USMLE Step 3 MCQ

A 45-year-old man has no bowel symptoms, personal history of polyps, inflammatory bowel disease, or family history of a hereditary colorectal-cancer syndrome. He has never been screened. Which preventive plan is best?