Colorectal Cancer

Colorectal Cancer

Professional Development

10 Qs

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MCE EXAMINATION (COLLABORATION)

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Colorectal Cancer

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Assessment

Quiz

Professional Development

Professional Development

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Created by

MAWAR Nyumes

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10 questions

Show all answers

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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