— 健康促進與維護 · EASY · MCQ —
一位 45 歲病人詢問護理師關於糞便免疫化學檢測 (FIT) 進行大腸癌篩檢的建議頻率，下列何者正確？
A 45-year-old client asks the nurse about the recommended frequency for colorectal cancer screening using a fecal immunochemical test (FIT). Which response is correct?
- AAnnually✓ 正解每年一次
- BEvery 10 years每 10 年一次
- CEvery 3 years每 3 年一次
- DEvery 5 years每 5 年一次
— Explanation · 中文詳解 —
根據美國癌症學會（ACS）指引，FIT 檢測因其敏感度與特性，建議每年執行一次以確保篩檢有效性。若檢測結果陽性，則需安排後續大腸鏡檢查。其他選項不適用於此類非侵入性糞便檢測，較長的間隔僅適用於大腸鏡或電腦斷層掃描。
According to the American Cancer Society (ACS) guidelines, FIT should be performed annually because of its sensitivity and detection characteristics. A positive result requires follow-up colonoscopy. The other intervals are not appropriate for this non-invasive stool test; longer intervals apply only to colonoscopy or CT colonography.
✦ 台美臨床差異
美國醫保對 45 歲以上篩檢給付明確；台灣健保針對 50-74 歲提供兩年一次免費糞便潛血檢查。