Lung Cancer Screening: ABFM practice questions

13 board-style questions on lung cancer screening in the PulseMD family medicine question bank, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A 58-year-old man presents for an annual health maintenance visit. He has a 35-pack-year smoking history and quit smoking 2 years ago. He has no respiratory symptoms and no personal history of lung cancer. He asks about lung cancer screening. According to the USPSTF 2021 recommendations, does this patient meet criteria for low-dose CT lung cancer screening?

1. No, because he needs at least a 40-pack-year history to qualify
2. Yes, he meets all criteria for annual LDCT screening
3. No, because he has already quit smoking
4. No, because he is under age 60

Sample question 2

A 57-year-old man presents for a routine visit. He smoked one pack of cigarettes per day for 25 years and quit 8 years ago. He has no respiratory symptoms. His vital signs are normal and chest exam is clear. According to USPSTF guidelines, what is the appropriate lung cancer screening recommendation?

1. Chest X-ray every 2 years
2. No screening is indicated since he quit smoking more than 5 years ago
3. Annual low-dose CT scan of the chest
4. Sputum cytology annually

Create a free PulseMD account to answer these, see the explanations, and practice five minutes a day.

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