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Prostate cancer screening counselling — MCCQE Part 1 MCQ

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ModeratePreventive MedicineProstate cancer screening counsellingMCCQE Part 1

A 58-year-old man with no urinary symptoms and no family history of prostate cancer asks for a PSA test after reading online advice. He wants to understand the Canadian recommendation. What should you tell this patient?

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

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Correct answer: E — Routine PSA screening is not recommended; discuss small potential benefit and harms before deciding

The Canadian Task Force recommends against routine PSA screening because harms from false positives, overdiagnosis and treatment can outweigh small mortality benefit. Shared discussion is appropriate when a patient requests testing. A normal PSA does not permanently exclude future prostate cancer.

Reference: CTFPHC Prostate Cancer Screening