— 健康促進與維護 · MEDIUM · MCQ —
一位 40 歲病人詢問大腸鏡篩檢頻率。若無大腸癌家族史，標準建議為何？
A 40-year-old client asks the nurse about the frequency of colonoscopy screening. What is the standard recommendation for an individual with no family history of colon cancer?
- AOnly if symptoms like rectal bleeding occur僅當出現如便血等症狀時
- BStarting at age 30, every year自 30 歲起，每年一次
- CBeginning at age 50, every 5 years自 50 歲起，每 5 年一次
- DBeginning at age 45, every 10 years✓ 正解自 45 歲起，每 10 年一次
— Explanation · 中文詳解 —
根據美國癌症協會（ACS）最新指南，平均風險個體的結腸直腸癌篩檢建議從 45 歲開始。若檢查結果正常，大腸鏡通常建議每 10 年執行一次。其他選項（如 50 歲或僅有症狀才做）已不符合最新預防醫學標準。
According to the most recent American Cancer Society (ACS) guidelines, colorectal cancer screening for average-risk individuals begins at age 45. If the colonoscopy results are normal, the procedure is generally repeated every 10 years. The other options (such as starting at age 50 or screening only when symptoms appear) no longer reflect current preventive medicine standards.
✦ 台美臨床差異
台灣目前國健署補助大腸癌篩檢主要為 50-74 歲糞便潛血檢查，美方篩檢年齡與手段（大腸鏡）較具進取性。