— 健康促進與維護 · EASY · MCQ —
一位 45 歲個案諮詢護理師關於大腸癌篩檢的建議。下列資訊何者正確？
A 45-year-old client asks the nurse about recommended screening for colorectal cancer. Which information is appropriate?
- ASigmoidoscopy is the gold standard for full colon evaluation乙狀結腸鏡是全大腸評估的黃金標準
- BFecal occult blood testing is required every 6 months糞便潛血檢查需每6個月進行一次
- CColonoscopy should be performed every 10 years starting at age 45✓ 正解從45歲開始，每10年應進行一次大腸鏡檢查
- DScreening is not necessary until the age of 55直到55歲之前都不需要進行篩檢
— Explanation · 中文詳解 —
大腸癌篩檢對早期發現與預後至關重要。根據美國癌症協會指引，平均風險族群從 45 歲開始應進行大腸癌篩檢。大腸鏡（Colonoscopy）因能同時檢查全大腸並切除息肉，被視為最有效的篩檢工具，若檢查結果正常，間隔 10 年執行一次即可。早期篩檢能顯著降低大腸癌發生率與死亡率，護理師應主動向個案衛教相關篩檢資訊。
For average-risk adults, current guidelines recommend starting colorectal cancer screening at age 45. Colonoscopy is the preferred method because it allows for the visualization of the entire colon and the removal of polyps, and it should be repeated every 10 years if results are normal.