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Important points:

1. Colonoscopy is equal to flexible sigmoidoscopy plus barium enema (BE) for colon cancer screening. Colonoscopy is more sensitive and more expensive. Choose flexible sigmoidoscopy -f BE over colonoscopy for boards. Double contrast (air-contrast) BR is superior to single-contrast (no air) BE.

2. In general, urinalysis (screening for urinary tract cancer that results in hematuria), acid phosphatase (prostate cancer), alpha-fetoprotein (liver and testicular cancer), and other serum markers are not appropriate for screening asymptomatic patients with no physical findings, but look for these abnormal lab values to show up in questions as a clue to diagnosis. Prostate-specific antigen (PSA) is becoming popular as a prostate cancer .screening test, but does not replace rectal exam.

Immunizations in adults

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