A 60-Year-Old Man Comes to the Office for an Annual

question 644

Multiple Choice

A 60-year-old man comes to the office for an annual preventive visit.  The patient feels healthy and has no symptoms.  He has a history of hypertension that is well controlled with lisinopril.  The patient does not use tobacco or alcohol; he has a balanced diet and exercises regularly.  He had a normal screening colonoscopy 10 years ago but says, "I had an awful experience during the bowel preparation, and I would rather not go through that again."  He has no family history of colorectal cancer.  Vital signs are normal, and physical examination shows no abnormalities.  The patient agrees to undergo flexible sigmoidoscopy, which reveals 2 pedunculated polyps of 1-1.5 cm in the descending colon; the polyps are removed, and histopathology findings are consistent with villous adenoma in both polyps.  Which of the following is the best recommendation for this patient regarding colorectal cancer screening?

• A)Colonoscopy in 1 year
• B)Colonoscopy in 3-5 years
• C)Colonoscopy now
• D)CT colonography now
• E)Sigmoidoscopy in 3-5 years

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Definitions:

Elastic Demand

A situation where the demand for a product or service significantly changes in response to a change in price.

Regulated Monopoly

A monopoly that is allowed to operate by the government under set conditions and regulations to ensure fair competition and protect consumers.

Regulation Dilemma

The challenge of finding the balance between necessary governmental regulations and the freedom for businesses to operate efficiently.

Pure Monopolies

Market situations where a single company or entity exclusively controls the supply of a particular good or service.