AOCNP Cancer Screening and Prevention 2

Question 1

The ACS recommends that average-risk adults begin colorectal cancer screening at which age?

Accepted Answer

45 years

Answer

The ACS updated its recommendation in 2018 to begin colorectal cancer screening at age 45 for average-risk adults due to rising incidence in younger populations.

Question 2

Which cervical cancer screening strategy is currently recommended for average-risk women aged 30–65?

Accepted Answer

Co-testing with Pap smear and HPV test every 5 years OR Pap smear alone every 3 years

Answer

ASCCP and USPSTF guidelines recommend co-testing every 5 years or cytology alone every 3 years for women aged 30–65 at average risk.

Question 3

Sun protection is the primary prevention strategy for which type of skin cancer?

Accepted Answer

Melanoma and non-melanoma skin cancers (BCC, SCC)

Answer

UV radiation from sunlight and tanning beds is the primary modifiable risk factor for melanoma, basal cell carcinoma, and squamous cell carcinoma.

Question 4

The PSA screening recommendation for prostate cancer emphasizes:

Accepted Answer

Shared decision-making with men aged 55–69 after discussing benefits and harms

Answer

USPSTF and ACS guidelines emphasize individualized shared decision-making for men aged 55–69, acknowledging the benefit of early detection versus overdiagnosis and overtreatment harms.

Question 5

Aspirin chemoprevention is associated with reduced risk of which cancer when taken long-term?

Accepted Answer

Colorectal cancer

Answer

Long-term aspirin use reduces colorectal cancer incidence and mortality by inhibiting COX-2-mediated prostaglandin synthesis that promotes colonic adenoma growth.

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP - Advanced Oncology Certified Nurse Practitioner Practice Test

AOCNP Cancer Screening and Prevention 2