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Q. |
A 64-year-old white man presents for serum prostate-specific antigen (PSA) screening at his wife‟s urging. He is in generally good health, except for mild hypertension. His digital rectal examination reveals a mildly enlarged prostate gland with no discrete nodules. He has no family history of prostate cancer. What is the best advice to give him? |
A. | There is no evidence that PSA screening leads to the earlier detection of prostate cancer |
B. | There is insufficient evidence to establish whether PSA screening affects overall mortality rates |
C. | On the basis of his lack of symptoms it is unlikely that he has an elevated PSA |
D. | Because a digital rectal examination is more sensitive than a serum PSA test, his normal examination makes it unlikely that he has cancer |
Answer» B. There is insufficient evidence to establish whether PSA screening affects overall mortality rates |
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