General Internal Medicine Q32

A 65-year-old man is evaluated during a visit to establish care. He is interested in colorectal cancer screening; however, he adamantly refuses to undergo colon preparation, and he does not want to modify his diet for screening. He has never undergone colorectal cancer screening. Medical and family histories are unremarkabl e. He takes no medications.

Physical examination, including vital signs, is normal.

After discussing the colon preparation process and dietary restrictions with the patient and exploring his concerns, he is steadfast in his refusal.

Which of the following is the most appropriate screening test for this patient?

A Circulating methylated SEPT9 DNA test

B CT colonography

C Fecal immunochemical test

D Sensitive guaiac-based fecal occult blood test

Choose an Answer Above

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