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Prostate cancer screening — MCCQE Part 1 MCQ

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ModeratePreventive MedicineProstate cancer screeningMCCQE Part 1

A 58-year-old man with no urinary symptoms and no family history of prostate cancer asks for a PSA test because a friend was screened. He wants a balanced recommendation. What should you tell this patient?

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Correct answer: B — Discuss potential benefits and harms before deciding on PSA screening

Canadian guidance favours shared decision-making for PSA testing rather than routine population screening. The patient should understand false positives, overdiagnosis, biopsy harms, and uncertain mortality benefit. PSA testing is not prohibited, but it should not be automatic. MRI and finasteride are not first-line population screening/prevention strategies.

Reference: CTFPHC prostate cancer screening guidance; Canadian Urological Association