The PSA test rating for 55-69 and 70+ is?

• A. 55-69: B; 70+: A
• B. 55-69: A; 70+: B
• C. 55-69: C; 70+: D
• D. 55-69: D; 70+: C

Answer: (C)

The key idea is how PSA screening’s value changes with age and is reflected in rating categories. As men age, the net benefit of PSA screening tends to decline because of shorter remaining life expectancy and greater potential harms from overdiagnosis and overtreatment. That leads to older age groups receiving a lower rating. Therefore, the 55–69 group falls into the third category, while the 70+ group falls into the fourth category. This pairing corresponds to the option describing 55–69 as the third category and 70+ as the fourth category. The other pairings would imply the older group has a higher rating or the middle group a lower rating, which doesn’t align with how age affects the net benefit of screening.