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Breast cancer screening — MCCQE Part 1 MCQ

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ModeratePreventive MedicineBreast cancer screeningMCCQE Part 1

A 52-year-old woman with no breast symptoms and no personal or strong family history asks about mammography. She wants to understand routine Canadian screening options. What should you tell this patient?

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Correct answer: C — Discuss benefits and harms and offer mammography every 2 to 3 years through the screening programme

Average-risk women in the 50 to 74 age range should be counselled on benefits and harms and can be offered mammography every 2 to 3 years depending on programme guidance. MRI is not routine for average-risk screening. Waiting until 75 misses the age range with clearer benefit. Thermography is not an evidence-based substitute.

Reference: CTFPHC breast cancer screening; provincial screening programmes