USMLE Forums banner

test for 53-yr old woman

2K views 11 replies 7 participants last post by  K06100 
#1 ·
A 53-year-old woman comes to the physician for an annual examination. She has no complaints. She has hypertension, for which she takes a thiazide diuretic, but no other medical problems. Her past gynecologic history is significant for normal annual Pap tests for many years, her last being 2 months ago. A recent mammogram was negative. Heart, lung, breast, abdomen, and pelvic examination are unremarkable. Which of the following procedures or tests should most likely be performed on this patient?

A. Chest x-ray
B. Pap test
C. Pelvic ultrasound
D. Prostate-specific antigen (PSA)
E. Rectal examination
 
#5 ·
E

A 53-year-old woman comes to the physician for an annual examination. She has no complaints. She has hypertension, for which she takes a thiazide diuretic, but no other medical problems. Her past gynecologic history is significant for normal annual Pap tests for many years, her last being 2 months ago. A recent mammogram was negative. Heart, lung, breast, abdomen, and pelvic examination are unremarkable. Which of the following procedures or tests should most likely be performed on this patient?

A. Chest x-ray
B. Pap test
C. Pelvic ultrasound
D. Prostate-specific antigen (PSA)
E. Rectal examination
Her age necessitates colonic cancer screening, but none of the above can be used for screening, E would be more appropriate to be a part of complete physical exam :))
 
#9 ·
They had given E as the correct answer......The explanation goes as follows --

The correct answer is
E. Cancer screening should be an essential part of an annual examination. Colorectal cancer is a major cause of serious morbidity and mortality for women in the U.S.: greater than 50,000 new cases are diagnosed each year, and there are more than 25,000 deaths from colorectal cancer. Screening should begin at age 50 in asymptomatic women with no significant family history. Screening consists of a digital rectal examination with fecal occult blood testing. This can be performed at the same time that pelvic examination is performed. Sigmoidoscopy should be performed every 3-5 years. This patient has no indication for a chest x-ray (choice A). Lung cancer has surpassed breast cancer as the major cause of cancer death in women. However, chest x-ray films are not used for lung cancer screening. There is currently no technique available for routine screening for lung cancer. The Pap test (choice B) is an important method of screening for cervical cancer and should be performed annually. However, this patient had a normal Pap test 2 months ago. Pelvic ultrasound (choice C) is not indicated in this patient. She has nothing abnormal in her history or physical that would warrant pelvic ultrasound. Pelvic ultrasound is not used for cancer screening. Prostate-specific antigen (PSA) (choice D) is an appropriate test in men. PSA testing would not be indicated in this (female) patient.

May be before colonscopy was used as screening tool ,they did DRE with FOBT.......??????
 
This is an older thread, you may not receive a response, and could be reviving an old thread. Please consider creating a new thread.
Top