colorectal cancer

Question 1

duke a

Answer 1

no serosal fat , only bowell wall
good5 year prognosis

Question 2

duke a …
survielance follow up?
colonoscopy

Answer 2

anually… first 2 yrs
then 3rd yearly

Question 3

duke a
survey occult blood

Answer 3

monthly first 4 yrs
then yearly

Question 5

col ca bowel habits

Answer 5

may or may not change

Question 6

col ca blood work and age ?

Answer 6

anaemia + old age

Question 7

dermoid cyst

Answer 7

females of child bearing age
multiple tissues involved

Question 8

anaemia : do nothing and reassure

Answer 8

young age +
anaemia resolvable by supplements

Question 9

> sixty yrs and anaemia

Answer 9

faecal occult blood testing

Question 10

colonoscopy indication for screening

Answer 10

both 1st and 2nd degree
relatives have cancer

Question 11

col ca rx

Answer 11

angiogenesis inhibitor
BEVACIZUMAB( VEGF inhibitor)

Question 12

co ca rx:
CAPE CITA BANE ?

Answer 12

prodrug of 5FLUROURACIL

Question 13

CAPECITABANE advantage

Answer 13

ORAL BD
…. instead of 5fu iv for 24 hrs

Question 14

COL CA
METASTASIS indication ???

Answer 14

high CEA levels

Question 15

meckels diverticulum see ?

Answer 15

technitium scan

Question 16

col ca METASTASIS RX ??

Answer 16

OXALI PLATIN
Multitherapy
with
5fu +folinic acid

Question 17

> SIXTY yrs plus anaemia
anaemia evaluation

Answer 17

COLONoscopy
then
upper gi Endoscopy

Question 18

COL CA
CEA use ?

Answer 18

1=post operative surviellance
2=disease progression
3=diesease free survival rate

Question 19

col ca … plus …?
in presence of LIVER METS
WHAT disease or syndrome

Answer 19

carcinoid syndrome
HORMONE excess
RX RESECTION WITH METS , OCTREOTIDE AND peptide receptor RT

Question 20

carcinoid syndrome in COL CA
which hormone ?

Answer 20

neuro endocrine tumor
SERITONIN excess in liver mets

Question 21

neuro endocrine tumor m/C location

Answer 21

ILEUM

Question 22

PARAGANGLIOMA

Answer 22

neck
catecholamines secrete 2 percent
tumor of sympathetic nervous system

Question 23

pheocromocytoma
secrete

Answer 23

adrenaline
loc at adrenal

Question 25

COL CA and other cancer associations ?

Answer 25

endometrial ca
hnpcc

Question 26

Endometrial ca in Col ca?

Answer 26

HERIDITORY NON POLYPOSIS COL CA (HNPCC)
ONSET 44 YEARS
men COL CA 0 percent
females col ca 40 percent
AND ALSO
FEMALES : DEVELOP ENDOMETRIAL CANCER 50 PERCENT HIGH CHANCE

Question 27

COL CA with LIVER mets symptoms

Answer 27

CarCInoiD SYNdrOME
SYSTOLIC MURMUR
PROXYSM ABDOMEN PAIN
DIAHHROEA
FLUSHING

Question 28

carcinoid syndrome symptoms rx

Answer 28

octreotide
if inaffective

Question 29

octreotide ineffective in CD symtoms rx

Answer 29

CYPRO HEP TADINE

METHY SER GIDE

Question 30

Microbial risk for COL CA

Answer 30

STREPtococcus BOVISSS

causes endocarditis ,, murmurs

Question 31

COL CA query PLUS MURMURS plus fever

Answer 31

endocarditis by streptococcus bovis

Question 32

strep bovis location

Answer 32

Large bowel

Question 33

m/c cause of endocarditis generally

Answer 33

staph aureas

Question 34

COL ca premalignant lesion ?

Answer 34

SERRATED polyps

Question 35

col ca Bad prognosis not surviellance

Answer 35

depth
RIGHT SIDE location( ascending colon)
cicumference
size

Question 36

m/c location for Col ca

Answer 36

left side
decending and sigmoid colon
most symptoms

Question 37

rt side co ca

Answer 37

ascending colon
bad prognosis
less symptoms

Question 38

Col ca
DUKE A

Answer 38

Bowell wall

NO SEROSA FAT

Question 39

COLCA duke B

Answer 39

SEROSA involves

Question 40

Col CA DUKE C….

Answer 40

LYMPH NODES

Question 41

COL CA DUKE…. DDDD

Answer 41

Distant mets primary to liver

Question 42

oxaliplatin

Answer 42

muti therapy
non motor neuropathy
only sensory neuropathy

Question 43

oxaliplatin

Answer 43

NEURO and OTO toxic
NEUTROPENIA
RENAL FUCTION MONITOR in renal impa

Question 44

platinum therapy fail eg cisplatin ,oxaliplatin col ca rx?

Answer 44

IRINOTECAN