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Lower GI Bleeding > Colon Cancer > Flashcards

Colon Cancer Flashcards

1
Q

Which from ths following consider as risk factor

A) alcohol 
B) obesity
C) high procced meat 
D) smoking 
E) all of the above
A

E : all

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2
Q

First organs colon cancer metastae to?

A

1st: Liver
2ed: lung

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3
Q

The presentage of FAP related colon cancer account for?

A

1) 5%
2) 10%
3) 25%
4) 50%

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4
Q

Pathologically colon cancer can be divided into ?

A

1- annular
2- ulcer
3- tubular
4- cauliflower

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5
Q

TNM classfication of colon cancer ?

A 
T
T1: submucosa
T2: muscular putpura
T3: reach serosa pericolic fat or dubserosa but has not breach wall
T4: breach wall , surrounded structure

N
N0: none
N1: 1-3 LM
N2: 4 or more LM

M
M0: no
M1: yes

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6
Q

Most common affected age group ?

1) 60
2) 40
3) 70
4) 80

A

4)80

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7
Q 
lesion of left collon will present as? 
A) itin deficency annemia
B) mass
C) lower Gi bleeding
D) aysmptomatic
A

C)
They present with gl bleeeding with alter bowel habits

ذا كلام الكتاب بس عيسى قال اللي يجيب بليدنق الركنم مو الكولون
فنقول افضل جواب التر بارل هابتز

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8
Q 
lesion of righ ( proximal) collon will present as? 
A) iron deficency annemia
B) mass
C) lower Gi bleeding
D) alter bowl habits
A

A.B

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9
Q

Investigation of choice to screen patient with Colon cancer?

A

Colonscopy

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10
Q

Simplest way to screen patient by? What will be your next step if positive

A

Fecal icclut blood

Colonoscopy

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11
Q 
Apple core is radiological sign of barrium enema associated with?
A) colon cancer
B) polyps 
C) volvlys 
D) diverticulitis
A

A colon cancer

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12
Q

CT rule in colon cancer?

  • diagnosis
  • staging
  • thruueptic
  • radiolgical gaudince drainge
A

Staging

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13
Q

MRI best test to stage rectal cancer , true or false

Other alterntive?

A

True

Endoscopic US

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14
Q 
Intial screening test in patient susbected to have colon cancer?
A- fecal occlut blood
B- sigmoidoscopy 
C- NG tube
- bairiek red cell matking
A

B sigmodisvopg

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15
Q

…..% of collon cancer located in ….?

A 
70%
Left colon( sigmoid)
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16
Q 
Pc presenting with ascending colon CC what your suregey choice?
1- right hemicolecyomy
2- extended tight hemicoloctomy
3- left hemi colectomy
4- resection and iliocecal anastomasis

Artery you will ligate?
1- Ilicolic artery with right colic artery
2- Left colic artery
3- sigmoid artery

A

A) Right hemi colecyticomy

1) iliocolic and right colic srtery

17
Q 
Pc presenting with rectal cancer what your suregey choice?
1- right hemicolecyomy
2- extended tight hemicoloctomy
3- left hemi colectomy
4- low anterior resection
A

Liw anterior resection

18
Q 
Pc presenting with sigmoid CC what your suregey choice?
1- right hemicolecyomy
2- sigmoidecty
3- left hemi colectomy
4- resection and iliocecal anastomasis

Artery you will ligate?
1- Ilicolic artery with right colic artery
2- Left colic artery
3- sigmoid artery

A

Sigmoidectomy

Sigmoid artery

19
Q 
Pc presenting with splenic flexure what your suregey choice?
1- right hemicolecyomy
2- extended left hemicoloctomy
3- left hemi colectomy
4- extended right hemicolocectomy

Artery you will ligate?
1- Ilicolic artery with right colic artery
2- left colic artery
3- sigmoid artery

A

2

2

20
Q

شوفي بقيه الاماكن بالسرجري باخر صفحه بالملخص

A
21
Q

Post opertive colonscopy survellance used to detect …., the chance in peressntage?

A

Synchronized, meta synchronized

3-5%

22
Q

Post opertive complication include?

A

DVT
Ansatmosis leakagd
Pertonitis

23
Q

Colon cancer if left untreated complucation

A 
Ibstructuon
Hemorrhage
Perforation
Pertonitis 
anemia
24
Q 
Patient with obstructed left colon due to CC what will you do? 
Hartman 
Or
Resection and anastomasis
Or 
Radiological stent
A

Both can be done

But hartman best to rdfuce rodk of infection

25
Q

If onstruction due to right CC? In healthy fit patient

A

Right hemicolectomy snd anastomasis

26
Q

If rightobstruction of CC with unstable oatient or contimated?

A

Ileocolostomy

No anastomasis

27
Q

Types of adenomitic polyos according to gross patholgy?

A

Villous ( sesile) __ higher risk of ca
Tubular( oenducuksted , not milgnancy )
Adenomatous( premalgnan)
Viliotubular mixed

28
Q

Viloius polyps might present with?

A 
Bleeding 
Diarrhia 
Mucuse dischargs 
Hypokelmia 
Hypoalbumindmua
29
Q 
Adenoma of polys larger than ….. require resection
انتبعي للوخده
1-2cm
2- 4mm
3- 5mm
4- 5cm
A

5mm

30
Q

Managment if polyos ? M
Snall
Colonscopuc snare polypectomy

Large
— Superfical : endiscopic mucosal resection
— Deep: endoscopic submucosal disecetionwith saline injected

If reaced the base : colon resection???

A

ماهو سوال بس معلومه ذا

31
Q 
Familia adenomus polypodis
Number of polyps ? 
Common age? 
Risk of milgnency ?
Presenting conllain?
Gene related?
Type of inhertience ?
Treatment? Why do we jeep the recum
Do you need to screen the family?
Assosiated tumors syndrome?
A

> 100

15 years old

100% in 30 years they develop cancer so at17 do prophlyctic iliocecal resection

Lowe gi bleeding

APC

Autosomial dominant

Treatment: prophlyctic colectomy iliorecral anastomasis, keep rectum to avoid sexual dysfunction in young male

Yes screen blood relative

Doudenoum adenoma
Gardner( dermoid tumor, polyps congeital hypertrophy of retina?

32
Q

Lynch syndrome

Heredietry non polypodus colerectal cancer 
Ingertience? 
Age : 
Risk if mailgnency? 
Gene: 
Coomon part: 
Assosiated condition:
A 
Autosomal dominant 
45 
80% rosk of mailgnancy 
MSH1-2 gene 
Comon site rigt
CEOربطه  ( colon, endometriak, ovarian)
33
Q

Lynch is diagnosed by amsterdam criteria , what is it?

A
  • 3 relative with coloretal cancer
  • 2 generation
  • 1 first degree relative
  • 1 diagnosed kess than 50 y
  • FAP excluded
  • tumor verify by oathlogical examination
34
Q

شوفي ملاحظلت دكتور عيسى بالملاحظات هم حق الانفلامتوري بارل

ومخطط اللور جي اي بليدنق

A
35
Q

شيكي على علاج كرون الدوائي من ملخص ريما

A
36
Q

الدايفراتكلولز راحعيها من الملخص مو موجوده هنا وتراها مهمه

A

Lower GI Bleeding (2 decks)

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