#april2020mccqe1
A 57-year-old man comes to his primary care physician complaining of increasing fatigue in the past few months. He is unable to walk up to his third floor apartment without becoming short of breath. His WBC count is 5000/mm3, hemoglobin is 10.2 g/dL, hematocrit is 37%, platelet count is 221,000/mm3, and mean corpuscular volume is 70 fL. Additionally, the patient’s stool is guaiac-positive. The physician sends the patient for colonoscopy, which is shown in the image. With the new diagnosis, the patient is concerned about his 35-year-old son. What recommendations should the physician make regarding the son?
(A) His son should be screened with a colonoscopy every 1–2 years starting now
(B) His son should be screened with a colonoscopy every 5 years starting at age 40 years
(C) His son should be screened with a colonoscopy every 5 years starting at age 50 years
(D) His son should be screened with a colonoscopy every 5 years starting now
(E) His son should be screened with a fecal occult blood test every year starting at age 50 years
A 57-year-old man comes to his primary care physician complaining of increasing fatigue in the past few months. He is unable to walk up to his third floor apartment without becoming short of breath. His WBC count is 5000/mm3, hemoglobin is 10.2 g/dL, hematocrit is 37%, platelet count is 221,000/mm3, and mean corpuscular volume is 70 fL. Additionally, the patient’s stool is guaiac-positive. The physician sends the patient for colonoscopy, which is shown in the image. With the new diagnosis, the patient is concerned about his 35-year-old son. What recommendations should the physician make regarding the son?
(A) His son should be screened with a colonoscopy every 1–2 years starting now
(B) His son should be screened with a colonoscopy every 5 years starting at age 40 years
(C) His son should be screened with a colonoscopy every 5 years starting at age 50 years
(D) His son should be screened with a colonoscopy every 5 years starting now
(E) His son should be screened with a fecal occult blood test every year starting at age 50 years
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