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Colorectal cancer screening — MCCQE Part 1 MCQ

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EasyPreventive MedicineColorectal cancer screeningMCCQE Part 1

A 52-year-old man with no bowel symptoms and no family history of colorectal cancer asks about screening. He has never been screened and prefers a non-invasive option. What is the most appropriate screening/prevention?

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Correct answer: E — Offer faecal immunochemical testing through the provincial screening programme

Average-risk adults in the screening age range can be screened using stool-based testing such as FIT through provincial programmes, with colonoscopy for abnormal results. Colonoscopy may be used in some settings but is not required as the initial option for every average-risk patient. CEA and CT are not appropriate population screening tests.

Reference: CTFPHC Colorectal Cancer Screening; provincial screening programmes