#february2020mccqe1
A 53-year-old man presents to his physician’s office in tears. A close friend of his was recently diagnosed with lung cancer, so the patient is concerned because he has smoked a pack of cigarettes daily for 39 years and his father died of lung cancer. He recalls that he had a productive cough 2 months prior that resolved after several weeks. He is concerned that he might have lung cancer or might develop it in the future. He asks whether there is a test he can undergo on a regular basis to “catch the cancer early.” Which of the following is the most appropriate screening test for this patient?
(A) Annual x-ray of the chest
(B) Biannual low-dose helical CT scan
(C) Biannual sputum cytology
(D) Bronchoscopy
(E) None; advise the patient to quit smoking and monitor for clinical signs of lung cancer
A 53-year-old man presents to his physician’s office in tears. A close friend of his was recently diagnosed with lung cancer, so the patient is concerned because he has smoked a pack of cigarettes daily for 39 years and his father died of lung cancer. He recalls that he had a productive cough 2 months prior that resolved after several weeks. He is concerned that he might have lung cancer or might develop it in the future. He asks whether there is a test he can undergo on a regular basis to “catch the cancer early.” Which of the following is the most appropriate screening test for this patient?
(A) Annual x-ray of the chest
(B) Biannual low-dose helical CT scan
(C) Biannual sputum cytology
(D) Bronchoscopy
(E) None; advise the patient to quit smoking and monitor for clinical signs of lung cancer
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