GERIATRICS EOR MALIGNANCIES *Be sure to see surgery questions for skin & breasts Flashcards

1
Q

When do we start colonoscopies?

A

Age 40

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2
Q

If a colonoscopy is normal – when is the next one?

A

10 years

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3
Q

If a colonoscopy comes back with a polyp that is benign – when is the next one?

A

5 years

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4
Q

If a colonscopy comes back with a premalignant polyp – when is the next one?

A

3 years

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5
Q

If a colonoscopy comes back with lots of polyps or evidence of dysplasia – when is the next one?

A

1 year

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6
Q

What would make a premalignant polyp?

A

sessile, no stalk, large, or villous

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7
Q

What characteristics make a benign polyp?

A

pedunculated, small, tubular

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8
Q

If a postmenopausal woman or man is found to have iron deficiency anemia – what is it until proven otherwise?

A

Colon cancer!!!

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9
Q

When do we need to consider a colonscopy for a pt?

A

change in caliber of stools, alternating bowel habits, or significant weight loss

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10
Q

IF a pt has painless white oral lesion that cannot be rubbed or scraped off – dx?

A

oral leukoplakia

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11
Q

Oral leukoplakia is what type of cancerous lesion?

A

Squamous cell

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12
Q

If you see hemoptysis it is what until proven otherwise?

A

Lung Cancer!

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13
Q

What is the US Preventative Task Force Recommendations for lung CA?

A

In an adult between ages 55-80 who have a 30 pack-year hx & currently smoke or quit within the past 15 years = low dose CT

*Stop screening once person has not smoked x15 years

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14
Q

If a patient describes chest pressure what is something you should always keep on your differential (besides MI)?

A

Lung CA

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15
Q

Chest wall pain, dysphagia, hoarseness, and pleural effusion are all examples of what?

A

lung CA

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16
Q

What are some PE findings besides the lungs that can indicate lung CA in the elderly?

A

Clubbing, cushing, hypercalcemia, SIADH, cachexia

17
Q

What is the MC GU cancer?

A

Prostate

18
Q

What type of screening do we do in men for prostate Ca?

A

PSA in men >50 & DRE

19
Q

At what point do we need to do a biopsy of the prostate?

A

PSA > 10

20
Q

What are the treatment options in prostate CA?

A

Radical prostatectomy, ERBT, Androgen ablation

21
Q

What is at the core for prostate cancer treatment?

A

Life Expectancy

  • If life expectancy is <10 years = observe
  • If life expectancy is >10 years + PSA <10 = Treat