GI - 11 Colon disorders pt 2

Question 1

___ is believed to be caused by being deficient in fiber

Answer 1

Colonic diverticulOSIS

Question 15

__ – a marker for colon cancer. If they have colon cancer, follow the level through their treatment.
Remove cancer and this level normalizes.

Answer 15

CEA level

Question 15

What is CEA level?

Answer 15

– a marker for colon cancer. If they have colon cancer, follow the level through their treatment.
Remove cancer and CEA level normalizes.

Question 16

__ is the diagnostic procedure of choice to inspect the colon

Answer 16

Colonoscopy

Question 16

What imaging test identifies Recttal cancer?

Answer 16

endorectal ultrasonography (Depth of penetration of cancer through rectal wall and pararectal lymph nodes)

Question 17

treatment of choice of the primary colonic or rectal cancer is

Answer 17

Resection

Question 17

As of Stage _of rectal cancer: Give chemotherapy

Answer 17

Stage 3

Question 18

What’s the significance of Stage 3 of rectal cancer?

Answer 18

Giving chemotherapy significantly helps chances

Question 18

Compared with __ cancer, __ cancer has lower longterm survival rates and higher recurrence rate

Answer 18

Compared with colon cancer, rectal cancer has lower longterm survival rates and higher recurrence rate

Question 19

Increased among people practicing receptive anal intercourse

Answer 19

Anal Cancer

Question 19

What group has a higher chance of anal cancer?

Answer 19

Anal intercourse folk.

Question 20

In over 80% of cases of anal cancer __ is detected

Answer 20

HPV

Question 20

In which colon cancer is HPV often detected?

Answer 20

Anal Cancer

Question 21

Bleeding, pain with defecation are most common symptoms

Answer 21

Anal Cancer

Question 21

Acute Lower GI Bleeding happens below what landmark?

Answer 21

Below the ligament of Treitz

Question 22

**Presents as acute, painless, large-volume maroon or bright red hematochezia in patients over age 50

Answer 22

Diverticulosis’ bleeding

Question 22

Bleeding Diverticulum is seen with __

Answer 22

colonoscopy

Question 23

__ is Most common in patients >70 years and in those with chronic renal failure
Occur throughout the upper and lower intestinal tracts

Answer 23

Vascular Ectasias

Question 23

Brown stools mixed with blood predict the problem is in the __ or __ (where in the body?)

Answer 23

Sigmoid colon or anus

Question 24

Bright red blood in stool suggests the problem is where?

Answer 24

Colon

Question 24

Maroon stools suggest the problem is where? (2)

Answer 24

Small intestine or Right colon

Question 25

Black stools suggest the problem is where?

Answer 25

Proximal to the ligament of Treitz

Question 25

Where is the ligament of Treitz?

Answer 25

connects the duodenum of the small intestine to the diaphragm.

Question 26

Painless large-volume bleeding
usually suggests (2)

Answer 26

diverticular bleeding or vascular ectasias

Question 26

Bloody diarrhea associated with cramping abdominal pain, urgency, or tenesmus suggests (3)

Answer 26

inflammatory bowel disease, infectious colitis, or ischemic colitis

Question 27

What do you do if a patient has lower GI bleeding?

Answer 27

First check if lower GI bleeding starts in Upper GI or not with NG tube aspiration.
If not: Do colonoscopy

Question 27

Bleeding that is not apparent (not at all) to the patient is called:

Answer 27

Occult Lower GI Bleeding

Question 28

What identifies Occult Lower GI Bleeding?

Answer 28

FOBT (fecal occult blood test)