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CME/CE Test

How Many Patients Get a Colonoscopy After a Positive Stool Test?

To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

  1. You are a member of the healthcare team caring for a 61-year-old Black woman who is due for routine colorectal cancer (CRC) screening. She wants to know if non-invasive stool-based testing is accurate before she proceeds. According to the previous study by Lee and colleagues, what can you tell her about fecal immunochemical tests (FITs) specifically?
    The sensitivity of FITs was 96%
    The specificity of FITs was 70%
    The diagnostic accuracy of FITs was 95%
    Assessing multiple stool samples improved test sensitivity substantially
  2. The patient proceeds to complete a multitarget stool DNA (mt-sDNA) test instead, which is positive. What should you consider regarding the results of the current study by Mohl and colleagues as you consider next steps?
    The rate of colonoscopy within 360 days of a positive stool test was 91%
    The rate of colonoscopy within 360 days of a positive stool test was 74%
    Black and Asian race were associated with lower rates of colonoscopy
    Being a woman was associated with lower rates of colonoscopy