]> 2026-07-31T11:51:57+00:00 WBR0825 0 en Start screening with colonoscopy at the age of 50 years and follow her up every 10 years. '''Incorrect'''-Starting screening with colonoscopy at the age of 50 years and following up every 10 years will be for the general population without any family history of colorectal cancer. Start screening at 40 years or 10 years earlier than the age at which the family member contracted cancer. '''Incorrect'''-Starting screening at 40 years or 10 years earlier than the age at which the family member contracted cancer will be for patients with a single-family member with colon cancer. Colonoscopy every 1 or 2 years starting at the age of 25 years. '''Correct'''-This patient's history is suggestive of Lynch syndrome or Hereditary nonpolyposis colorectal cancer and the targeted preventive care method in them will be colonoscopy every 1 or 2 years starting at the age of 25 years. Sigmoidoscopy every 1 or 2 years and it should have been started at the age of 12 years. No screening recommendations. Community Medical Health Center Primary Care Office Vendhan Ramanujam A 25 year old woman has come to her primary care physician’s office for a routine annual examination. She has no complaints. She has no known family history of breast or cervical cancer. But the physician is made aware of the patient's 40 year old elder sister who recently underwent surgery for colon cancer found as a result of routine colorectal cancer screening and surgeries for colon cancer in her mother and her aunt at the ages of 60 years and 70 years respectively. She is a non-smoker. She drinks a glass of wine once in a month for the past 2 years and does not use illicit drugs. She lives with her boyfriend and has no history of multiple sexual partners. Her vital signs are heart rate 82 beats/min, respiratory rate 16/minute, blood pressure 110/70 mm Hg and oral temperature 37.2 C. On physical examination she looks well nourished. A routine pelvic examination with Pap test and a clinical breast examination were done. She is concerned about her family history of colon cancer. Which will be the most effective targeted method of preventive care in this patient? C Gastrointestinal Preventive Medicine 2020-10-28T01:48:15Z 2459150.5751736 WBR0825