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Shared decision-making for PSA screening — USMLE Step 3 MCQ

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ModeratePreventive Medicine, Epidemiology, BiostatisticsShared decision-making for PSA screeningUSMLE Step 3

A 54-year-old man asks about prostate cancer screening. His father was diagnosed with prostate cancer at 72. He is asymptomatic and has a life expectancy greater than 10 years. He asks whether a PSA test is required. Which of the following is the most appropriate screening recommendation?

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

PSA-based screening for men in the typical screening age range should be individualized after shared decision-making about possible benefits and harms, including false positives and overdiagnosis.

Reference: USPSTF preventive services recommendations