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q95 - sami2004
#11
C.
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#12
c.
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#13
is it E?
C says digital rectal exam...are we supposed to do that in female?
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#14
Answer c.
Current American Cancer Society screening recommendations for
otherwise healthy women include annual clinical breast examination
and mammography beginning at age 40 years and pelvic examination
and Papanicolau test for all sexually active women (can be
done every 2-3 years after 3 successive annual examinations with
normal results in low-risk women). In this woman, who has a firstdegree
relative who had colon cancer at age 50 years, current recommendations
are for her to have her first colon cancer screening
done at an age 10 years younger than the age at diagnosis of the
affected relative. Normally, colon cancer screening is not begun
until age 50 years, but the family history in this case should alter
the recommendations. There is no standard role for chest radiography
for screening, especially in a nonsmoker. Cancer antigen 125
is a serum marker for ovarian cancer and as yet has no role in screening,
nor does routine ovarian or pelvic ultrasonography.
Ultrasonography cannot currently be recommended for screening
for breast cancer. Recent findings show that women who have a
very high risk for breast cancer (greater 20% lifetime) should undergo
screening MRI. These recommendations mostly include women
who have an inherited gene mutation such as BRCA1 or BRCA2
or women who have had prior radiation to the breast region (most
often for lymphoma).
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#15
very impressive sami..
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