American Board of Internal Medicine (ABIM) Certification Practice Exam

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At what age should average-risk individuals begin screening for colon cancer?

  1. 45

  2. 50

  3. 55

  4. 60

The correct answer is: 50

The correct age for average-risk individuals to begin screening for colon cancer is 45. This recommendation has been updated by the United States Preventive Services Task Force (USPSTF) which suggests starting screening at age 45 rather than 50 for average-risk adults. This change is based on increasing rates of colorectal cancer diagnoses in younger populations and aims to enhance early detection of the disease. Screening can involve various methods such as colonoscopy, fecal immunochemical testing (FIT), or other modalities, and the choice may depend on individual health factors and preferences. While the option stating 50 was once the standard guidance, contemporary recommendations reflect the need to address the rising incidence of colorectal cancer in younger individuals, thus advocating for earlier initiation of screening.

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