Cancer presentation

Question 1

Most common cancers in men

Answer 1

Lung 1 in 13
Prostate 1 in 14
Large bowel 1 in 18

Question 2

Most common cancers in women

Answer 2

Breast 1 in 9
Large bowel 1 in 20
Lung 1 in 23

Question 3

Smoking RF for which cancers

Answer 3

Resp: lung, larynx, pharynx, mouth
GI: oesophagus, stomach, liver
Renal: bladder
O&G: cervix

Question 4

Alcohol RF for which cancers

Answer 4

Resp: larynx, pharynx, mouth
GI: oesophagus, liver, bowel
Breast

Question 5

Obesity RF for which cancers

Answer 5

breast
bowel
endometrium
oesophagus

Question 6

Breast cancer genes

Answer 6

BRCA1 and BRCA2

Question 7

Bowel cancer gene

Answer 7

APC gene

Question 8

Which cancers have currently screening programmes

Answer 8

breast
bowel
cervix

Question 9

Breast ca screening

Answer 9

50-70 yo
every 3 yrs
mammography

Question 10

Bowel ca screening

Answer 10

1. 60-74 yo
   every 2 yrs
   FOB test
2. one off at 55yo
   flexible sigmoidoscopy

Question 11

Cervical ca screening

Answer 11

25-64 yo

every 3yrs until 49, then every 5 yrs

Question 12

Referral for breast cancer

Answer 12

• if 30 yo or older with unexplained breast or axilla lump
• if 50 yo or older with unilateral nipple sx
• If skin changes suggestive of breast cancer

Question 13

Referral for bowel cancer

Answer 13

if 40 +wt loss + abdo pain
if 50 + PR bleed
if 60 + anaemia or change in Bowel habits

Question 14

Referral for lung cancer

Answer 14

chest x-ray suggesting cancer

or 40 with unexplained haemoptysis

Question 15

When can do a PSA screen

Answer 15

1 mo after proven UTI
1 wk after DRE
3 dys after ejaculation

Question 16

Ix of choice for brain tumours

Answer 16

CT/ MRI