2012 ASGE

Question 1

Most common neoplasm found during CRC screening

Answer 1

Adenomatous polyps

Question 2

If with no polyps on baseline colonoscopy

Answer 2

10 year interval

Question 3

Small (<10mm) hyperplastic rectosigmoid polyps

Answer 3

10 year interval

Question 4

1-2 small tubular adenom

Answer 4

5-10 year interval

Question 5

3-10 tubular adenomas

Answer 5

3 year interval

Question 6

> 10 adenomas

Answer 6

<3 year interval

Question 7

> /10mm tubular adenomas

Answer 7

3 year interval

Question 8

Any villous adenoma

Answer 8

3 year interval

Question 9

Adenoma with HGD

Answer 9

3 year interval

Question 10

Sessile serrated polyp <10mm with no dysplasia

Answer 10

5 year interval

Question 11

Sessile serrated polyp >/= 10mm
If with dysplasia
Serrated adenoma

Answer 11

3 year interval

Question 12

Serrated polyposis syndrome interval

Answer 12

1 year

Question 13

What is Serrated Polyposis Syndrome

Answer 13

At least 5 proximal to sigmoid with 2 or more >/=10mm
With family history of SPS with presence of serrated polyp
>20 serrated polyps anywhere

Question 14

What is high risk adenoma

Answer 14

3 or more adenomas
Tubular adenoma >/=10mm
Villous adenoma
HGD

Question 15

Low risk adenoma

Answer 15

1-2 tubular adenomas <10mm

Question 16

If on baseline = LRA

First surveillance = HRA

Answer 16

Second surveillance = 3 years

Question 17

If on baseline and on first surveillance = LRA

Answer 17

Second surveillance = 5 years

Question 18

If on baseline = LRA

First surveillance = No adenoma

Answer 18

Second surveillance = 10 years

Question 19

If on baseline = HRA

First surveillance = HRA

Answer 19

Second surveillance = 3 years

Question 20

If on baseline = HRA

First surveillance = LRA

Answer 20

Second surveillance = 5 years

Question 21

If on baseline = HRA

First surveillance = No adenoma

Answer 21

Second surveillance = 5 years

Question 22

When should surveillance stop?

Answer 22

> 85 years

Question 23

If bowel prep is poor, when should colonoscopy be repeated?

Answer 23

After one year

Question 24

If the bowel prep is fair but adequate, when should colonoscopy be repeated?

Answer 24

After 5 years

Question 25

Define fair but adequate bowel prep

Answer 25

Detect lesions >5mm and <10mm

Question 26

Role of Guiac or Fecal immunochemical test before schedule surveillance

Answer 26

None

False positive rates are high

Question 27

Recommendation if there’s development of new symptoms during the surveillance interval

Answer 27

None

Question 28

Recommendation on intake of ASA and NSAIDs on risk of recurrent adenomas

Answer 28

None