— 健康促進與維護 · EASY · MCQ —
一位 45 歲病人詢問護理師糞便潛血檢查(FOBT)用於大腸癌篩檢的建議頻率為何?
A 45-year-old client asks the nurse about the recommended frequency for colorectal cancer screening using a fecal occult blood test (FOBT). What is the appropriate response?
- AEvery 3 years每 3 年一次
- BEvery 10 years每 10 年一次
- CEvery 5 years每 5 年一次
- DAnnually✓ 正解每年一次
— Explanation · 中文詳解 —
美國預防服務工作小組(USPSTF)與美國癌症協會(ACS)建議大腸癌篩檢自 45 歲起開始;若使用糞便潛血檢查(Fecal Occult Blood Test, FOBT 或 FIT),建議每年(Annually)執行一次,以增加偵測早期病灶的機會。其他間隔對應的是不同篩檢工具:軟式乙狀結腸鏡為每 5 年,全大腸鏡為每 10 年。FOBT 為非侵入性、易執行,但敏感度較低,因此頻率需較頻繁。
For average-risk adults, the fecal occult blood test (FOBT) should be performed annually to effectively screen for colorectal cancer. Unlike colonoscopies every ten years or sigmoidoscopies every five years, the less sensitive nature of FOBT requires more frequent testing to ensure early detection of lesions.