A 58-year-old man with a 40 pack-year smoking history lives on a remote First Nations reserve with limited access to diagnostic imaging. He has stable...

Question

A 58-year-old man with a 40 pack-year smoking history lives on a remote First Nations reserve with limited access to diagnostic imaging. He has stable COPD (GOLD stage 2) and is on a long-acting muscarinic antagonist. He asks about screening for lung cancer. What is the most appropriate response?

Accepted Answer

Explain that CTFPHC recommends annual low-dose CT screening only in specialised programmes and refer him to a regional programme

Answer

Recommend annual chest radiographs at the nursing station

Answer

Recommend annual low-dose CT locally, even if image quality is poor

Answer

Advise that no lung cancer screening is recommended for any smokers in Canada

Answer

Order a sputum cytology every year

ca-mccqe1 MCQ (SBA): Lung cancer screening in high-risk Indigenous patient

A 58-year-old man with a 40 pack-year smoking history lives on a remote First Nations reserve with limited access to diagnostic imaging. He has stable COPD (GOLD stage 2) and is on a long-acting muscarinic antagonist. He asks about screening for lung cancer. What is the most appropriate response?