Lung Cancer Screening: ABFM practice questions

14 board-style questions on lung cancer screening in the PulseMD family medicine question bank — physician-reviewed, 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 62-year-old woman with a 45-pack-year smoking history undergoes her first low-dose CT for lung cancer screening. The scan shows a 9 mm part-solid nodule in the right upper lobe with a 3 mm solid component. What is the most appropriate next step in management?

  1. Repeat LDCT in 6 months to assess for change
  2. PET-CT scan for metabolic characterization
  3. Repeat LDCT in 12 months
  4. Immediate CT-guided biopsy of the nodule

Sample question 2

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

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

PulseMD is an independent educational resource and is not affiliated with, endorsed by, sponsored by, or approved by the American Board of Family Medicine.