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Diagnostic stewardship for low-value testing — RCPSC IM MCQ

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HardGeneral IM/Ethics/CanMEDSDiagnostic stewardship for low-value testingRCPSC IM

A 31-year-old woman has chronic fatigue without weight loss, fever, lymphadenopathy or abnormal examination. CBC, ferritin, TSH, creatinine, ALT and pregnancy test are normal. She requests a whole-body CT because a friend had cancer. She is anxious but has no red flags. What is the most appropriate management?

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

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Correct answer: B — Acknowledge concerns, explain low diagnostic value and harms, and arrange follow-up with targeted reassessment

CanMEDS-aligned care balances patient concerns with stewardship. Low-yield imaging can cause false positives and harm; follow-up and reassessment are appropriate.

Reference: Choosing Wisely Canada; Royal College CanMEDS Leader role