— 健康促進與維護 · EASY · MCQ —
一位 40 歲女性病人進行年度身體檢查，應預期包含哪項健康篩檢？
Which of the following health screenings should a 40-year-old female client expect during her annual physical examination?
- ADual-energy X-ray absorptiometry (DEXA) scan.雙能量 X 光吸收測定法 (DEXA) 掃描
- BProstate-specific antigen (PSA) test.攝護腺特異抗原 (PSA) 檢測
- CClinical breast examination and baseline mammogram discussion.✓ 正解臨床乳房檢查與基線乳房攝影討論
- DRoutine colonoscopy.常規結腸鏡檢查
— Explanation · 中文詳解 —
對於 40 歲女性，乳房健康是重點。此階段應開始討論基線乳房攝影（Mammogram）的重要性與頻率。A 選項 DEXA 檢查通常於 65 歲或有風險因素時進行；C 為男性檢查；D 大腸鏡檢查目前建議起始年齡為 45 歲。
At age 40, women should begin discussing the importance of baseline mammograms and clinical breast examinations for early detection of breast cancer. Other screenings have different guidelines: DEXA scans are typically recommended starting at age 65, PSA tests are for men, and routine colonoscopies generally begin at age 45.
✦ 台美臨床差異
台灣乳篩補助多由 45 歲開始，但臨床對於 40 歲自費篩檢的宣導日益重視。