A 55-year-old man wants PSA screening. He has no urinary symptoms, no family history of prostate cancer, and no known high-risk genetic syndrome. He

Question

A 55-year-old man wants PSA screening. He has no urinary symptoms, no family history of prostate cancer, and no known high-risk genetic syndrome. He asks whether he should be screened. Which of the following would you advise this patient?

Accepted Answer

Use shared decision-making about benefits and harms of PSA screening

Answer

Start finasteride to prevent cancer before testing

Answer

Avoid any discussion until age 75

Answer

Screening is mandatory at his age

Answer

Order prostate MRI as screening

Shared decision-making for PSA screening — ABFM Board MCQ

A 55-year-old man wants PSA screening. He has no urinary symptoms, no family history of prostate cancer, and no known high-risk genetic syndrome. He asks whether he should be screened. Which of the following would you advise this patient?