PAEA Surgery End Of Rotation (EOR) Practice Exam

At what age should colorectal cancer screening begin for average-risk patients?

1. 40 years old

2. 50 years old

3. 60 years old

4. 30 years old

The correct answer is: 50 years old

Colorectal cancer screening for average-risk patients is recommended to begin at age 45 according to recent guidelines, which reflects a slight adjustment from the previous age of 50. This shift aims to address the rising incidence of colorectal cancer in younger populations. Although the provided answer indicates 50 years old, the general consensus and current guidelines by organizations such as the American Cancer Society recommend initiating screening at 45 years. Screening is crucial as it aids in the early detection of colorectal cancer, improving survival rates through the identification of cancerous lesions before symptoms appear. Regular screening helps in the detection of polyps, which can be removed before progressing to cancer, further emphasizing the importance of beginning screening at the appropriate age for average-risk individuals. While some other age options fall outside the generally accepted guidelines for average-risk patients, it is important to understand the rationale behind choosing a screening age that balances risks with the benefits of early detection.