Week 9 Review Session

Question 1

Taking aspirin along with an NSAID increases the risk of an upper GI bleed. Which of the following is NOT an NSAID?

A. Naproxen
B. Ibuprofen
C. Acetaminophen
D. Advil

Answer 1

C. Acetaminophen

Acetaminophen (same thing as Tylenol) is a P reducer that does not increase risk of GI bleed

Question 2

What type of stool is a patient most likely to
report if they have a LOWER GI bleed?

A. dark, tarry stools
B. bright red blood in stool (hematochezia)

Answer 2

B. bright red blood in stool (hematochezia)

BRBPR = bright red blood per rectum

Question 3

Patient: 54 yo man. He is taking one 81 mg aspirin daily. He does not take any other medications. He exercises regularly, does not smoke, and drinks 1-2 glasses of wine every evening. He
has no family history of colon cancer. He has no known medical problems.

Consider the risk factors we discussed for colon cancer. What about this patient increases his risk for colon cancer?

A. taking daily aspirin
B. his age (54 years old)
C. drinking 1-2 glasses of wine daily

Answer 3

B. his age (54 years old)

Start to screen for colon cancer at 50 yo

Question 4

What dietary factor is NOT implemented as
increasing the risk for colon cancer?

A. white meat
B. processed meat
C. low fiber

Answer 4

A. white meat

Question 5

If used alone, how often does a fecal
immunochemical test (FIT) need to be done to
screen for colon cancer? 

A. once between ages 50-75
B. once a year
C. every 5 years
D. every 10 years

Answer 5

B. once a year

Question 6

Given that he has a positive test for blood in the stool, what is the best next step?

A) Refer to GI for upper endoscopy 
B) Collect a CBC to look for anemia 
C) Refer to GI for colonoscopy 
D) A and B 
E) B and C

Answer 6

C) Refer to GI for colonoscopy

Question 7

True or false. Most adenomatous polyps
undergo malignant transformation over time.

A. True
B. False

Answer 7

B. False

Most polyps do NOT become colon cancer. But almost all colon cancer comes from polyps.

Question 8

Based on the fact that he had a colonoscopy 3 years ago, do you still think he needs a referral for another colonoscopy now?

A. Yes
B. No

Answer 8

A. Yes

Because he is bleeding. Now he needs diagnostic colonoscopy to find out where the bleeding is coming from.