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Lung cancer screening — MCCQE Part 1 MCQ

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ModeratePreventive MedicineLung cancer screeningMCCQE Part 1

A 62-year-old woman has a 40 pack-year smoking history and quit 8 years ago. She has no lung cancer symptoms and asks whether screening is appropriate. What is the most appropriate screening/prevention?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: EOffer annual low-dose CT screening through an experienced programme

Canadian Task Force guidance supports annual low-dose CT up to three times for adults aged 55–74 with at least 30 pack-years who currently smoke or quit within 15 years, in appropriate programmes. Chest x-ray and sputum cytology are not recommended screening tests. PET-CT is not a screening tool.

Reference: CTFPHC Lung Cancer Screening