A 50-year-old man attends his family physician for an annual "check-up." He feels well, takes no medications and has no risk factors other than age. L...

Question

A 50-year-old man attends his family physician for an annual "check-up." He feels well, takes no medications and has no risk factors other than age. Last year, he had normal blood tests. According to Choosing Wisely Canada, what is the most appropriate approach to ordering routine tests?

Accepted Answer

Order no routine blood tests unless there is a specific clinical indication or risk factor.

Answer

Order a complete blood count, electrolytes, liver enzymes and tumour markers annually in all adults over 50.

Answer

Order annual screening thyroid function tests in all asymptomatic adults.

Answer

Order annual ECG and chest radiograph to screen for cardiovascular and lung disease.

Answer

Order annual vitamin D level measurement in all adults in Canada.

ca-mccqe1 MCQ (SBA): Appropriate screening test ordering

A 50-year-old man attends his family physician for an annual "check-up." He feels well, takes no medications and has no risk factors other than age. Last year, he had normal blood tests. According to Choosing Wisely Canada, what is the most appropriate approach to ordering routine tests?