GI- Cancer

Question 1

What is the most effective method of screening for colon cancer?

Answer 1

Colonoscopy. Beginning at 50, every 10 years if all is normal

Question 2

Colonoscopy frequency with previous adenomatous polyp

Answer 2

3-5 years

Question 3

Colonoscopy frequency with hx of colon cancer

Answer 3

1 yr post resectionthen every 3 yers

Question 4

Colonoscopy frequency with FHx of colon cancer

Answer 4

1 member: state age 40 or 10yrs prior to age developed. repeat every 5 yrs 3 members, 2 gens, 1 premature: start at 25. repeat every 1-2yrs

Question 5

When to stop anti coats for colonoscopy

Answer 5

All other oral anticoags: one day beforeWarfarin: 3-5 days

Question 6

Characteristics of Peutz-Jeghers Syndrome

Answer 6

Multiple hamartomatous polyps melanotic spots on lips and skinIncreased frequency of breast cancerincreased gonadal and pancreatic cancer.

Question 7

Colonoscopy frequency with Peutz- Jeghers Syndrome

Answer 7

start at 8. every 3 years

Question 8

Colonoscopy frequency with Familial adenomatous polyposis

Answer 8

FAP: begin at 12. sigmoidoscopy every year.

Question 9

Characteristics of Gardner syndrome

Answer 9

Colon cancerosteomaDesmond tumorsoft tissue tumors

Question 10

Colonoscopy frequency with Gardner

Answer 10

Start age 12 every year sigmoidoscopy

Question 11

genetic test for FAP

Answer 11

Adenomatous polyposis coli (APC) test

Question 12

Characteristic of Turcot syndome

Answer 12

colon cancerCNS malignancy (glioma, medulloblastoma)

Question 13

Characterictic of Juvenile polyposis

Answer 13

Colon cancermultiple hamrtomatous polyps GI bleed Anemia

Question 14

Colonoscopy frequency with Juvenile polyposis

Answer 14

Starting age 12. both upper and lower GI yearly.