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Diverticulitis follow-up colonoscopy — USMLE Step 3 MCQ

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HardAmbulatory Medicine / Primary CareDiverticulitis follow-up colonoscopyUSMLE Step 3

A 57-year-old man comes for follow-up after an episode of uncomplicated sigmoid diverticulitis treated as an outpatient. Symptoms resolved with supportive care. He has never had colorectal cancer screening. CT during the episode showed localized sigmoid inflammation without abscess or mass. Which of the following is the most appropriate next step in management?

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Correct answer: C — Schedule colonoscopy after recovery

After diverticulitis, colonoscopy is recommended after recovery if recent high-quality colonoscopy has not been performed, to exclude malignancy and complete age-appropriate screening.

Reference: American Gastroenterological Association diverticulitis guidance; USPSTF colorectal screening