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Medical Tests: The Basics

Your health care may include medical tests like blood tests and x-rays. When you talk with your doctor, it is helpful to know a few things about medical tests. To learn more, watch the video below, keep reading, or take a quiz of your knowledge.

What you will learn:
Medical tests are one of several tools in a doctor's toolbox

To understand your medical needs, your doctor will consider information like your age, your symptoms, your medical history, and your physical exam. Often, this information is enough to know how to care for you and you may not need a medical test.

Medical tests have possible benefits and possible downsides

Medical tests can be helpful but they are not always accurate. And tests can sometimes lead to extra tests and treatments that may not help you. So keep an open mind when you talk with your doctor about medical tests.

You can talk with your doctor

Here are some questions you may want to ask:

Medical tests are one of several tools in a doctor's toolbox

To understand your medical needs, your doctor will consider different kinds of information, like your age, your symptoms, your medical history, and your physical exam.

Often, that information is all your doctor needs to make medical decisions.

Sometimes, your doctor may need more information and may order one or more medical tests to get this information.

Medical tests have possible benefits and possible downsides

A MEDICAL TEST CAN BE HELPFUL TO:

Diagnose symptoms

If you have new symptoms like chest pain or bleeding, a medical test may help your doctor make a diagnosis - that is, to figure out what is or is not causing these symptoms.

Check on a known medical condition

A medical test can help your doctor check if a known medical condition like diabetes or kidney disease is getting better or worse.

Screen for a new condition based on your risk factors

Even if you have no symptoms, a medical test can allow your doctor to check for conditions like colon cancer, HIV infection, or high cholesterol.

MEDICAL TESTS MAY ALSO HAVE DOWNSIDES:

Medical tests and treatment can take up time and cost you money. They can also cause stress, discomfort, or, in rare cases, physical injuries. Medical tests are not always accurate. Sometimes, they can lead to extra tests or treatments that may not help you.

Here are two ways the results of medical tests may surprise you and potentially lead to downsides:

1. False-positive results

Sometimes a test will come back as "positive", suggesting that you have a disease, when you don't actually have it. This false alarm is called a "false positive".

Some medical tests are more likely to have false positives. These include mammograms for women and prostate cancer tests for men. These false alarms may cause stress. They can also lead to a "cascade" or series of follow-up tests and treatments that may not help you.

2. Unexpected results (also called "incidental" findings)

Sometimes a medical test finds something that you weren't looking for.

For example, a set of blood tests like a "complete blood count" may show one result that is a little higher or a little lower than the "normal" range. This could be for reasons unrelated to your health.

To give another example, a chest scan to look for a lung infection may show a small lump in your thyroid gland. These unexpected results are common on scans and are most often nothing to worry about. But it can be hard not to worry and want to take some action.

How can I tell if a medical test is right for me?

The potential benefits and downsides of medical tests are different for different medical tests and depend on some other factors.

In some cases, your doctor will recommend a medical test because the benefits outweigh the downsides.
In other cases, your doctor will not recommend a medical test because the downsides outweigh the benefits.
Sometimes, your doctor may want to ask you about your preferences and then decide if a test is right for you. In these cases, you and your doctor will talk about the best choice.
You can talk with your doctor

It is a good idea to prepare some questions before you meet with your doctor - they are expecting them. Here are some questions you may want to ask:

How will this test change what we do next?

What are the possible benefits and downsides of this test?

What else can we do instead of this test?

You need to feel comfortable with your medical plan. If you are worried that you might have a specific health problem, like cancer, share this with your doctor. Together you can decide what tests are right for you and what the results mean for your health.

What else you can do