— 健康促進與維護 · MEDIUM · MCQ —
50 歲男性詢問攝護腺癌篩檢。下列哪項資訊是正確的？
A 50-year-old male asks about prostate cancer screening. Which of the following is correct information to provide?
- APSA levels can be elevated by benign conditions like BPH✓ 正解PSA 數值可能因 BPH 等良性狀況而升高
- BPSA screening is mandatory for every man starting at age 40PSA 篩檢是每位男性從 40 歲開始的強制性檢查
- CDigital rectal exam is the only diagnostic tool needed數位直腸檢查是唯一需要的診斷工具
- DProstate cancer screening guarantees prevention of the disease攝護腺癌篩檢可保證預防該疾病
— Explanation · 中文詳解 —
PSA (攝護腺特異抗原) 篩檢目前採取諮詢制，數值受多種因素影響。良性攝護腺肥大（BPH）、攝護腺發炎或近期射精均可能導致 PSA 升高，因此 PSA 升高並不等同於罹患癌症，還需進一步檢查。強制篩檢（B）無科學依據；指診（C）僅作為輔助，單獨使用無法確診；篩檢（D）是為了早期發現，無法完全預防疾病發生。
Prostate-specific antigen (PSA) levels are not specific to cancer and can be elevated by benign conditions such as benign prostatic hyperplasia (BPH) or prostatitis. Therefore, an elevated PSA requires further diagnostic evaluation rather than indicating cancer definitively, and screening decisions should be based on individualized risk-benefit discussions rather than mandatory protocols.