GI

Question 1

Which patients are not suitable for treatment of hep c in general practice?
(8)

Answer 1

Children
Decompensated cirrhosis
End stage renal disease
HIV or hep Surface antigen
Current pregnancy 
Hepatocellular carcinoma 
Liver transplant
Prior hep C infection and treatment

Question 2

Bowel cancer screening cat 1 - who and how

Answer 2

asymptomatic pt with no personal hx
one 1st degree and one 2nd degree relative >55

iFOBT every 2 years from 50-74

Question 3

Bowel cancer screening cat 2 - who and how

Answer 3

asymptomatic pt with

• one 1st degree relative <55yo
• OR two 1st degree relative any age
• OR one 1st degree relative and two 2nd degree relative any age

iFOBT every 2 years from 40-49
Colonoscopy every 5 years from 50-74

Question 4

Bowel cancer screening cat 3 - who and how

Answer 4

asymptomatic pt with
- three 1st degree relative any age
- at least three 1st or 2nd degree relatives, where one of those is <55yo
Ppl with high risk syndrome, Lynch syndrome
- 2 or more relatives where one of them has had multiple CRC, or dx. <50

Refer to CRC specialist, refer to familial cancer clinic
iFOBT every 2 years from 35-44
Colonsocopy 5 yearly from 45-74