Cancer Screening

Question 1

Bowel Cancer - Criteria for high risk patient?

Answer 1

Three first degree relatives with CRC diagnosed with one <55yo

Question 2

Bowel Cancer - High risk patient Mx? (3)

Answer 2

1. Refer to family cancer clinic
2. FOBT every 2 years from 35yo
3. Colonoscopy every 5 years from 45-74yo

Question 3

Bowel Cancer - Criteria for moderate increased risk patient?

Answer 3

Question 4

Bowel Cancer - Criteria for mildly increased risk patient?

Answer 4

First degree OVER 55yo w CRC

Question 5

Bowel cancer - moderate increased risk Mx? (3)

Answer 5

1. FOBT every 2 years from 40yo
2. Colonoscopy every 5 years from 50-74yo
3. 100mg daily aspirin from 50-70 (at least 2.5 years)

Question 6

Bowel cancer - moderately increased risk Mx? (2)

Answer 6

1. FOBT every 2 years from 50-74
2. 100mg daily aspirin for 2.5 years from 50-70

Question 7

Breast ca - normal screening protocol?

Answer 7

Mammogram 50-74yo

• Repeat every 2 years

Question 8

Breast Ca - moderate increased risk criteria?

Answer 8

Risk Calculator

1 of below = Normal Risk

2 of below = Moderate risk and increase screening

• > 2 relatives (same side)
• First degree relative
• <50 yo at Dx

Question 9

Breast Ca - Moderate increased risk Mx? (2)

Answer 9

Annual screening from 40yo

Repeat every 1-2 years until 50, then go to normal

Refer to family cancer clinic for genetic testing

Question 10

Breast cancer - high increased risk criteria?

Answer 10

Two first degree <50yo

Question 11

Breast Ca - High increased risk Mx?

Answer 11

Family cancer clinic

Question 12

Normal CST screening protocol?

Answer 12

25-74 yo, CST every 5 years

Question 13

Cervical ca protocol for: early sex <14yo before HPV vaccination?

Answer 13

Single HPV test between 20-24yo

Question 14

Difference in cervical ca protocol for immunodeficiency patients?

Answer 14

CST done 3 yearly instead of 5 yearly

Question 15

What 3 groups only need 2 “strikes” before needing colposcopy?

(e.g x2 non 16/18 HPV and LSIL)

Answer 15

50+yo

ATSI

Overdue for screening by 2+ years

Question 16

When doing CST, what results warrant a colposcopy immediately? (2)

Answer 16

HSIL or HPV 16/18 detected