American Board of Internal Medicine (ABIM) Certification Practice Exam

How often should high-risk patients receive a physical examination after resection of colorectal cancer?

1. Every month

2. Every 3 to 6 months

3. Every year

4. Every 2 years

The correct answer is: Every 3 to 6 months

High-risk patients who have undergone resection of colorectal cancer should receive a physical examination every 3 to 6 months following their surgery. This frequency of follow-up is crucial for several reasons. First, after resection, there is a significant risk for recurrence of colorectal cancer, especially in high-risk populations. Regular examinations allow for the early detection of any signs of recurrence, which can be vital for timely intervention. Second, these follow-ups also provide opportunities to monitor for any complications related to the surgery itself and to assess the overall health and response of the patient post-surgery. In addition to physical examinations, these patients may require scheduled surveillance imaging and laboratory evaluations, such as checking carcinoembryonic antigen (CEA) levels, which can serve as markers for recurrence. The recommended practice of every 3 to 6 months aligns with established guidelines for monitoring patients who are considered at higher risk due to factors such as tumor stage at diagnosis, histological features, and other individual health markers. This approach aims to balance frequent monitoring with the practicality and burden of healthcare visits, ensuring comprehensive care during the critical period following cancer treatment.