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Breast cancer screening shared decision-making — MCCQE Part 1 MCQ

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HardPreventive MedicineBreast cancer screening shared decision-makingMCCQE Part 1

A 45-year-old woman at average breast cancer risk asks whether she should start mammography now. She has no breast symptoms, no prior chest radiation and no strong family history. What should you tell this patient?

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

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Correct answer: B — Discuss benefits and harms and support shared decision-making about screening before age 50

Breast screening recommendations and provincial access vary, and for average-risk patients in their 40s the discussion should cover modest benefit, false positives and patient values. Mammography is not mandatory. MRI is reserved for selected high-risk patients, not average-risk screening.

Reference: CTFPHC breast cancer screening update; provincial breast screening programmes