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A 60-Year-Old Man Presents for an Annual Physical Examination

Question 15

Multiple Choice

A 60-year-old man presents for an annual physical examination. The examination is normal except for a palpable mass in the rectum on digital rectal examination. The patient denies any change in bowel habits and feels well. Rectal cancer is suspected. What is the next best step in the evaluation of this patient?


A) Computed tomography scan of the abdomen and pelvis
B) Double-contrast barium enema
C) Flexible sigmoidoscopy with biopsy of the lesion
D) Full colonoscopy with biopsy of the lesion
E) Magnetic resonance imaging scan of the abdomen and pelvis

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