GI 6 practice Flashcards
(32 cards)
The 3rd most common cause of cancer and 2nd leading cause of malignancy-related deaths worldwide is what?
a) Gastric adenocarcinoma
b) Colorectal cancer
c) Lung cancer
d) Breast cancer
b) Colorectal cancer
What is the 4th most common cause of cancer death worldwide?
a) Gastric adenocarcinoma
b) Colorectal cancer
c) Lung cancer
d) Breast cancer
a) Gastric adenocarcinoma
90% of cases of CRC are found in who?
Over 50+
Most cases of CRC arise from what types of polyps? Select two
a) Adenomatous
b) Fibrous
c) Serrated
d) Round
a) Adenomatous
c) Serrated
How many lymph nodes need to be resected to determine CRC stage?
12
If a patient’s father had CRC at age 40, when should screening start for your patient? How often?
Age 30; every 10 years
Patients with personal h/o non-pre-cancerous polyps (ie, hyperplastic polyps) should have interval screening colonoscopy every _____ years
10
Which is the most accurate description of secondary prevention for CRC?
a) Diet + lifestyle
b) Colonoscopy screening
c) Resection of the colon
d) Removal of cancerous polyps
b) Colonoscopy screening
Which are predictors of development of future advanced adenomas or cancers at baseline colonoscopy? Select all that apply
a) Multiple types of adenomas
b) 3 or more adenomas
c) Adenoma size greater than 1 cm
d) Adenoma with high-grade dysplasia
b) 3 or more adenomas
c) Adenoma size greater than 1 cm
d) Adenoma with high-grade dysplasia
Which is NOT a major risk factor for HCC development?
a) Chronic hep B
b) Chronic hep C
c) Smoking
d) Cirrhosis
C (smoking is a minor factor)
What should you do for pts with chronic hep B or cirrhosis?
a) U/S liver & AST + ALT annually
b) U/S liver & AST + ALT every 6 months
c) U/S liver & AFP annually
d) U/S liver & AFP every 6 months
d) U/S liver & AFP every 6 months
Which of the following are benign liver lesions? Select all that apply
a) Cavernous hemangioma
b) Hepatocellular adenoma
c) Infantile hemangioendothelioma
d) Focal nodular hyperplasia (FNH)
a) Cavernous hemangioma
b) Hepatocellular adenoma
c) Infantile hemangioendothelioma
d) Focal nodular hyperplasia (FNH)
Which of the following tumors is benign, often superficial, may burst during menstruation, and requires the d/c of OCPs?
a) Cavernous hemangioma
b) Hepatocellular adenoma
c) Infantile hemangioendothelioma
d) Focal nodular hyperplasia (FNH)
b) Hepatocellular adenoma
Benign, solitary lesion composed of nodules of benign hyperplastic hepatocytes surrounding central scar describes what?
a) Cavernous hemangioma
b) Hepatocellular adenoma
c) Infantile hemangioendothelioma
d) Focal nodular hyperplasia (FNH)
d) Focal nodular hyperplasia (FNH)
What is the best treatment for gastric adenocarcinoma?
a) Surgical resection
b) Chemotherapy
c) Radiation
d) Chemotherapy + radiation
a) Surgical resection
Most common stromal or mesenchymal neoplasm in GI tract, usually located in the stomach & jejunum/ ilium, is what?
a) Enteric neoplasms
b) Neuroendocrine (carcinoid) tumors
c) GI stromal tumor (GIST)
d) Leiomyomas
c) GI stromal tumor (GIST)
The most common small bowel tumor is what?
a) Enteric neoplasms
b) Neuroendocrine (carcinoid) tumors
c) GI stromal tumor (GIST)
d) Leiomyomas
b) Neuroendocrine (carcinoid) tumors
The most common malignancy affecting the duodenum is adenocarcinoma, but where is it most common in patients with Crohn’s?
a) Stomach
b) Jejunum
c) Ilium
d) Large bowel
c) Ilium
Intermittent & crampy abdominal pain is the most common symptom of what?
a) Enteric neoplasms
b) Neuroendocrine (carcinoid) tumors
c) GI stromal tumor (GIST)
d) Leiomyomas
a) Enteric neoplasms
Watery diarrhea & flushing are the m/c symptoms of what?
a) Neuroendocrine syndrome
b) Carcinoid syndrome
c) Stromal syndrome
d) Enteric syndrome
b) Carcinoid syndrome
What is the most common location of pancreatic cancer?
Head
A patient with jaundice has LUQ pain that radiates to the back, along with weight loss and diarrhea. The only thing that makes it better is sitting up and leaning forward. Besides serum tests, what else should you do next?
a) U/S
b) EUS
c) CT scan
d) MRI
c) CT scan
Radical pancreaticoduodenal (Whipple) resection is indicated for pancreatic cancers of the ______________; Distal subtotal pancreatectomy is indicated for resectable tumors of the _____________ of the pancreas.
Head; body or tail
Who is considered high-risk for CRC? Select all that apply
a) Familial adenomatous polyposis (FAP)
b) Hx of hyperplastic polyps
c) Lynch syndrome
d) Family Hx of hyperplastic polyps
a) Familial adenomatous polyposis (FAP)
c) Lynch syndrome
