Colorectal Cancer
Quiz
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Professional Development
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Professional Development
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MAWAR Nyumes
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10 questions
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1.
MULTIPLE SELECT QUESTION
2 mins • 1 pt
A 75 year old man presented with bleeding PR. A colonoscopy revealed a rectal adenocarcinoma at 10 cms from the dentate line. The following tests will be schedule for him
Staging CT scan
MRI pelvis for local staging (nodes and depth of invasion)
EUS rectum can also be used for local staging and is cheaper than MRI
CEA
2.
MULTIPLE SELECT QUESTION
2 mins • 1 pt
Statement below is related to colorectal cancers?
Right sided cancers commonly present with iron deficiency anaemia and left sided tumours present with change in bowel habit
Streptococcus bovis bacteraemia and Clostridium septicum sepsis can be due to underlying colonic malignancies
Synchronous cancer occur in up to 5 percent of patients
Serum CEA has prognostic utility in patients with newly diagnosed colorectal cancer
Answer explanation
Synchronous CRCs are defined as two or more distinct primary tumors separated by normal bowel and not due to direct extension or metastasis.
3.
MULTIPLE SELECT QUESTION
2 mins • 1 pt
What are risk factors for developing colon cancer?
Age more than 40 years old
Genetics FAP & Lynch syndrome
Inflammatory bowel disease
High fiber diet
4.
MULTIPLE SELECT QUESTION
2 mins • 1 pt
Which of the following is a warning sign of colon cancer?
Diarrhea or constipation
Blood in the stool
Vomiting
Rectal bleeding
5.
MULTIPLE SELECT QUESTION
2 mins • 1 pt
Where does colon cancer usually spread?
Brain
Bones
Kidneys
Liver
Answer explanation
In primary colon cancer, the cancer is localized to the colon. In advanced stages of colon cancer, the cancer spreads (metastasizes) to distant organs, most commonly the liver, lungs, lymph nodes, and peritoneum.
6.
MULTIPLE SELECT QUESTION
2 mins • 1 pt
What foods may cause colon cancer?
Leafy greens
Dairy products
Red meat and processed meat
Preservative food
7.
MULTIPLE SELECT QUESTION
2 mins • 1 pt
The following is associated with the greatest risk for colorectal cancer
Development of Lynch syndrome
Hereditary mutation of the APC gene
Dietary factors
Lifestyle choices, including alcohol consumption and sedentary habits
Answer explanation
Hereditary mutation of the APC gene is the cause of familial adenomatous polyposis (FAP), in which affected individuals carry an almost 100% risk of developing colon cancer by age 40 years. Hereditary nonpolyposis colon cancer syndrome (HNPCC), or Lynch syndrome, poses about a 40% lifetime risk of developing colorectal cancer.
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