20-pack-year Smoking History Undergoes in Medicine / Internal Medicine — 45yo Man | Gastroenterology | SMLE Q#11191

SMLE Question #11191

Medicine / Internal Medicine Gastroenterology

Objective: OBJ-433

Last updated: February 2026
A 45-year-old man with a 20-pack-year smoking history undergoes colonoscopy for intermittent rectal bleeding. A 1.5-cm tubular adenoma with low-grade dysplasia is removed from the sigmoid colon. He has no chronic illnesses and takes no regular medications. He asks what he can do now to reduce his future colorectal cancer risk. Which advice is most appropriate?

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