A 37-Year-Old Man Comes to the Office for a Routine

question 51

Multiple Choice

A 37-year-old man comes to the office for a routine preventive visit.  He is healthy and asymptomatic and has no significant medical history.  The patient has a 5-pack-year smoking history but quit 10 years ago.  He drinks 1 or 2 beers daily.  The patient works as a sales manager for a manufacturing company.  His father had colon cancer that was diagnosed at age 53, but there is no other family history of cancer.  Vital signs are within normal limits.  No abnormalities are noted on examination.  Which of the following is the most appropriate next step in management of this patient?

• A)Offer colonoscopy at age 45
• B)Offer colonoscopy in 3 years at age 40
• C)Offer colonoscopy in 6 years at age 43
• D)Offer colonoscopy now
• E)Refer for genetic testing prior to colonoscopy

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Definitions:

Variance

A statistical measure of the dispersion or spread in a set of data points, showing how far each number in the set is from the mean.

Coefficient Of Correlation

A statistical measure that calculates the strength of the relationship between the relative movements of two variables, represented typically by the Pearson correlation coefficient value.

Stocks

Shares in the ownership of a company, representing a claim on the company's assets and earnings.

Composed

Pertains to being made up of several parts or elements.