— 健康促進與維護 · MEDIUM · MCQ —
一位 55 歲女性詢問篩檢建議，根據美國預防服務工作小組（USPSTF）指南，下列何者為適當的篩檢？
A 55-year-old female client asks about screening recommendations. According to USPSTF guidelines, which screening is appropriate?
- AMammography every 1 to 2 years✓ 正解每 1 至 2 年進行乳房攝影檢查
- BPSA test for prostate cancer前列腺特異抗原檢測
- CColonoscopy every 10 years starting at age 60從 60 歲起每 10 年進行一次大腸鏡檢查
- DAnnual chest X-ray for lung cancer每年進行胸部 X 光檢查
— Explanation · 中文詳解 —
對於 50-74 歲女性，乳房攝影（Mammography）建議每 1-2 年一次。胸部 X 光不適合作為肺癌篩檢（應為低劑量 CT）。PSA 檢測不適用於女性。大腸鏡建議自 45 歲開始，而非 60 歲。針對此年齡層的女性，乳癌篩檢為核心預防工作。
According to USPSTF guidelines, women aged 50 to 74 should undergo mammography for breast cancer screening every one to two years. Other options are incorrect because PSA tests are for men, colonoscopy screening begins at age 45, and chest X-rays are not recommended for lung cancer screening.
✦ 台美臨床差異
台灣對於 45-69 歲女性有提供免費兩年一次乳房攝影篩檢，與國際準則趨勢一致。