Colon cancer screening, acute pancreatitis

Question 1

colon cancer screening - importance

Answer 1

95% of colon cancer deaths are preventable with screening

Question 2

most effective method of screening for colon cancer

Answer 2

clolonoscopy

Question 3

screening for colon cancer - sigmoidoscopy vs colonoscopy?

Answer 3

since 40% of colon cancer occurs proximal to the rectum and sigmoid colon, sigmoidoscopy is not nearly as sensitive in detecting lesions as colonoscopy

Question 4

screening for colon cancer - fecal occult blood testing vs colonoscopy

Answer 4

fecal occult blood testing (FOBT) does has more FP and FN than colonoscopy. In addition, a (+) FOBT must be followed u with colonoscopy

Question 5

screening for colon cancer - Barium, CT colonoscopy and capsule endoscopy vs colonoscopy

Answer 5

Barium, CT colonoscopy and capsule endoscopy DO NOT ALLOW FOR BIOPSY

Question 6

capsule endoscpy using

Answer 6

it is used to detect sources of bleeding in the small bowel not reachable by endoscopy

Question 7

Virtual colonoscopy

Answer 7

imaging procedure (x-rays + computers) to produce 2+3 dimensional images of the colon from the rectum, all the way to the lower end of the small intestine
NEVER CORRECT

Question 8

colon cancer screening - frequency of routine testing

Answer 8

colonoscopy every 10 years beginning at age 50

Question 9

colon cancer screening - frequency with a family history - which are the different conditions (only the names)

Answer 9

1. single family member
2. 3 family members, 2 generations, 1 premature (before 50)
3. FAP
4. Previous adenomatous polyp
5. previous history of colon cancer

Question 10

colon cancer screening - frequency with a single family member begin

Answer 10

• begin 10 years earlier than the age at which the family member developed their cancer or age 40, whichever is younger
• every 5 years if the family member is under 60

Question 11

colon cancer screening - frequency with 3 family members, 2 generations, 1 premature (before 50)

Answer 11

• HNPCC syndrome

- start screeing at 25 with colonoscopy every 1-2 years

Question 12

Familial adenomatous polyposis (FAP)

Answer 12

presence of thousands of polyps with an abnormal genetic test known as the adenomatous polyposis coli (APC) test

Question 13

colon cancer screening - frequency with FAP

Answer 13

age 12 every year with colonoscopy

Question 14

colon cancer screening - frequency with previous adenomatous polyp

Answer 14

colonoscopy every 3-5 years

Question 15

colon cancer screening - frequency with previous history of colon cancer

Answer 15

colonoscopy at 1 year after resection, then at 3 years, then every 5 years

Question 16

other polyposis syndromes

Answer 16

1. Peutz-Jeghers syndrome
2. Garnder
3. Turcot
4. Juvenile polyposis

Question 17

colon cancer screening - frequency with other polyposis syndromes

Answer 17

the same as routine

Question 18

Peutz-Jeghers syndrome characterised by

Answer 18

multiple hamartomatous polyps in association with

1. melanotic spots on lips and ksin
2. increased frequency of breast, gonadal + pancreatic cancer + CRC

Question 19

Peutz-Jeghers syndrome - increased frequency of …. cancer

Answer 19

breast, gonadal + pancreatic cancer + CRC

Question 20

Gardner syndrome?

Answer 20

FAP + osteomas + desmoid tumors + other soft tissue tumors

Question 21

Turcot syndrome?

Answer 21

FAP + CNS malignancy

Question 22

Juvenile polyposis?

Answer 22

FAP + multiple hamartomatous polys