Cancer Screening

Course #91994 - $60-


Study Points

  1. Identify trends in cancer screening for the most common cancers.
  2. Discuss disparities in adherence to cancer screening guidelines, including the impact of race/ethnicity, gender, age, socioeconomic status, and other factors.
  3. Evaluate controversies in cancer screening recommendations and the creation of guidelines.
  4. Describe breast cancer screening recommen­dations and possible factors affecting non­adherence.
  5. Outline guideline recommendations for cervical cancer screening.
  6. Identify colorectal cancer screening guidelines.
  7. Assess recommendations for lung cancer screening and possible adherence issues.
  8. Summarize available prostate cancer screening recommendations.
  9. Describe oral cancer screening recommendations.
  10. Evaluate guideline recommendations for ovarian cancer screening and factors affecting adherence.

    1 . Which of the following represents the standard criterion for the effectiveness of cancer screening?
    A) Increase in the 5-year survival rate
    B) Increase in the number of cancers detected
    C) Decrease in the cause-specific mortality rate
    D) Decrease in the percentage of cancers diagnosed as stage IV

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    2 . A meta-analysis showed that which of the following was the barrier to screening most often cited by patients?
    A) No health insurance
    B) Attitudes toward screening
    C) Lack of trust in health care
    D) Lack of healthcare professional recommendation

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    3 . Of the following, overdiagnosis has been most often associated with
    A) skin cancer.
    B) lung cancer.
    C) cervical cancer.
    D) colorectal cancer.

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    4 . Which of the following recommendations adheres to most screening guidelines for a 30-year-old asymptomatic woman at average risk for breast cancer?
    A) No screening
    B) Mammography every two years
    C) Breast self-examination every month
    D) Clinical breast examination every one to three years

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    5 . Which of the following breast cancer screening recommendations is guideline consistent for an asymptomatic woman 54 years of age with average risk?
    A) Mammography alone
    B) Mammography with MRI
    C) Mammography with ultrasound
    D) Mammography with ultrasound and MRI

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    6 . The breast cancer screening method recommended in all guidelines is
    A) ultrasound.
    B) digital mammography.
    C) breast self-examination.
    D) clinical breast examination.

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    7 . A woman is 38 years of age and has a five-year risk of breast cancer of 1.8% according to the modified Gail model. Which of the following screening recommendations is guideline consistent?
    A) Mammography alone every two years
    B) Mammography and MRI every year
    C) Mammography and clinical breast examination every year
    D) Mammography every year and clinical breast examination every 6 to 12 months

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    8 . According to the Breast Cancer Surveillance Consortium (BCSC), the highest rate of false-negative mammography results is found among women
    A) 39 to 49 years of age.
    B) 50 to 59 years of age.
    C) 60 to 69 years of age.
    D) 70 to 79 years of age.

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    9 . Thirty-year data on breast cancer screening in the United States indicate that breast cancer was overdiagnosed in
    A) 50,000 women.
    B) 230,000 women.
    C) 650,000 women.
    D) 1.3 million women.

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    10 . Which of the following cervical cancer screening recommendations is guideline consistent for an asymptomatic woman who is 25 years of age?
    A) No screening
    B) Screening with cytology alone every year
    C) Screening with cytology alone every three years
    D) Screening with cytology and HPV testing every three years

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    11 . The preferred cervical cancer screening recommendation for an asymptomatic woman who is 45 years of age is
    A) cytology alone every 3 years.
    B) cytology alone every 1 to 2 years.
    C) cytology and HPV testing every 3 years.
    D) cytology and hrHPV testing every 5 years.

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    12 . According to established guidelines, cervical cancer screening should begin at
    A) menarche.
    B) 18 years of age.
    C) 21 years of age.
    D) the age of sexual initiation.

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    13 . Which of the following cervical cancer screening recommendations is guideline consistent for an asymptomatic woman, 67 years of age, who has had negative results on three consecutive Pap tests within the past 10 years?
    A) No screening
    B) Screening with cytology alone every 3 years
    C) Screening with cytology alone every 5 years
    D) Screening with cytology and HPV testing every 5 years

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    14 . A woman 31 years of age has a negative result on cytology testing and a positive result on HPV testing. Which of the following is the most appropriate next step?
    A) Referral for colposcopy
    B) Continuation of routine screening
    C) Repeat cytology testing in 6 months
    D) Repeat cytology in 2 to 4 months; resume routing screening if result is negative

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    15 . Which of the following cervical cancer screening recommendations is guideline consistent for a woman who is 35 years of age and receives chronic treatment with corticosteroids?
    A) Screening every six months in the first year after treatment
    B) Screening every year for the first two years after treatment
    C) Screening every year beginning at the time of treatment
    D) Screening every three years beginning at the time of treatment

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    16 . All guidelines recommend beginning colorectal cancer screening at what age for people at average risk for the disease?
    A) 35 years of age
    B) 40 years of age
    C) 50 years of age
    D) 65 years of age

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    17 . Which of the following recommendations for colorectal cancer screening in average-risk individuals is consistent with guidelines?
    A) CT colonography every 10 years
    B) Colonoscopy and stool-based testing every year
    C) Flexible sigmoidoscopy and stool-based testing every year
    D) Flexible sigmoidoscopy every 5 years and stool-based testing every year

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    18 . An asymptomatic woman who is 36 years of age tells her primary care provider that early adenomas were found on colonoscopy in her father and older brother. Which of the following screening recommendations is guideline consistent for this patient?
    A) No screening
    B) Colonoscopy
    C) Stool-based testing alone
    D) Flexible sigmoidoscopy and stool-based testing

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    19 . An asymptomatic woman who is 48 years of age tells her primary care provider that colorectal cancer was diagnosed in her sister at 58 years of age. No cancers have been diagnosed in any other family members. Which of the following colorectal cancer screening recommendations is guideline consistent?
    A) Colonoscopy every 5 years
    B) Colonoscopy every 10 years
    C) Flexible sigmoidoscopy and stool-based testing every year
    D) Flexible sigmoidoscopy and stool-based testing every 2 years

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    20 . An asymptomatic man at average risk for colorectal cancer is found to have low-risk adenomatous polyps on sigmoidoscopy. Which of the following is the most appropriate next step?
    A) Colonoscopy within 5 years
    B) Flexible sigmoidoscopy within 1 year
    C) Fecal occult blood test within 6 months
    D) Double-contrast barium enema within 1 year

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    21 . Which of the following colorectal screening tests has been associated with a reduction in colorectal cancer-specific mortality of more than 60%?
    A) Colonoscopy
    B) Flexible sigmoidoscopy
    C) Fecal occult blood testing
    D) Fecal immunohistochemical testing

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    22 . Guidelines for lung cancer screening recommend against screening for people
    A) between 55 and 74 years of age.
    B) with smoking cessation of 10 years.
    C) with a 35 pack-year history of smoking.
    D) with severe comorbidities that preclude potentially curative treatment.

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    23 . Which of the following statements about lung cancer screening is TRUE?
    A) Only former smokers should be offered lung cancer screening.
    B) Approximately 50% of the U.S. population meet the criteria for lung cancer screening.
    C) Asymptomatic individuals who are at high risk and older than 75 years of age should not be offered lung cancer screening.
    D) The best balance of benefits and harms of lung cancer screening is found among individuals at moderate risk for lung cancer.

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    24 . Which of the following was the most common harm associated with lung cancer screening in the National Lung Screening Trial?
    A) Overdiagnosis
    B) False-positive results
    C) Unnecessary clinical procedure
    D) Unnecessary diagnostic procedure

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    25 . Before lung cancer screening guidelines were published, which of the following screening tests did physicians order most often?
    A) Sputum cytology alone
    B) Chest radiography alone
    C) Low-dose computed tomography
    D) Sputum cytology and chest radiography

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    26 . Routine prostate cancer screening is recommended by the
    A) American College of Physicians.
    B) American Urological Association.
    C) U.S. Preventive Services Task Force.
    D) None of the above

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    27 . A man who is 45 years of age and at high risk for prostate cancer opts to have screening, and the initial prostate-specific antigen (PSA) level is 0.7 ng/mL. Which of the following recommendations is guideline consistent?
    A) Repeat PSA in 1 year
    B) Repeat PSA in 2 to 4 years
    C) Repeat PSA at 50 years of age
    D) Discussion of the harms and benefits of screening

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    28 . The primary benefit of prostate cancer screening is
    A) reduced mortality.
    B) increased five-year survival.
    C) lower stage and grade of cancer at diagnosis.
    D) lower incidence of prostate cancer.

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    29 . Which of the following statements about oral cancer screening is TRUE?
    A) Toluidine blue enhances the efficacy of oral cancer screening.
    B) Oral cancer screening has reduced mortality among individuals at average risk and high risk.
    C) No organization recommends examination of the oral cavity to detect oral cancer or premalignant lesions.
    D) Routine screening for oral cancer or premalignant lesions should be carried out by dental care providers.

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    30 . Which of the following ovarian cancer screening recommendations is guideline consistent for an asymptomatic woman 45 years of age at average risk for ovarian cancer?
    A) No screening
    B) Pelvic examination alone every year
    C) Transvaginal ultrasound and CA-125 level every 2 years
    D) Pelvic examination and transvaginal ultrasound every 2 years

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