I screen, you screen, we all screen..
Cheeky risk factors
Catch me if you can
Numbers
Scenarios
100
Screening exam in which fiberoptic tube is passed throughout the entire colon
What is Colonoscopy?
100
This risk factor can increase your potential to develop colon cancer up to 3 times the average.
What is (immediate) family history of polyps or cancer?
100
Two genetic disorders that predispose to a high lifetime risk of colorectal cancer
What are Lynch Syndrome and FAP
100
Frequency of FIT-DNA test to screen for colon cancer
What is 1-3 years
100
Because the last colonoscopy showed 3 small adenomatous polyps (<1 cm), the next colonoscopy should be performed at
What is 3 years?
200
Screening modalities for colorectal cancer
What are FIT (cologuard), colonoscopy, sigmoidoscopy, colonography?
200
Four modifiable colorectal cancer risk factors
What are smoking, excessive alcohol use, sedentary lifestyle/obesity, and diet
200
Bacteremia and endocarditis associated with what organism
S. bovis
Bacteremia and endocarditis associated with this organism are a clue to underlying colorectal carcinoma
200
The age when you can stop screening colonoscopies (considering a case by case basis)
What is age 75?
200
What is definitive treatment for cancerous polyps
What is partial colectomy/surgical resection.
Depending on cancer location and stage/progression, additional treatment options may include adjuvant chemotherapy, neoadjuvant chemotherapy, chemoradiation, and targeted therapies
300
Screening exam in which there is radiologic exam of the entire colon, with high sensitivity for polyps >6mm
What is CT colonography?
300
While colon and rectal cancer can occur in anyone, these races have been shown to have the highest risk for the disease
What is African American, Native American, and Alaskan Native?
300
Age that pts with IBD should start screening for CRC
What is 8 years after diagnosis
300
ACG recommendations on how to take colonoscopy prep to increase detection rate
Half prep evening before, half prep day of scope starting ~5 hours before
300
Because the last colonoscopy showed a small hyperplastic polyp (< 5 mm), the next colonoscopy should be performed at
What is 10 years?
400
Colorectal cancer screening age starts at
What is 45 years of age
400
Things in the Standard American Diet that increases risk of CRC (aka why incidence of CRC in 20-30yo is rising). Name up to 3.
- diet high in red meat, processed meat
- diet low in fruit, vegetables, fiber, and dairy
400
Surgeries that should be offered to women with Lynch syndrome mutations
What is total hysterectomy and bilateral salpingo-oophorectomy? Most common cancer in Lynch Syndrome is endometrial cancer
400
Age that patients with familial adenomatous polyps should start CRC Screening
What is age 10-12 years
400
If a patient has a first degree relative (FDR) with CRC/adenomas >60years or 2 SDRs with CRC, what is the screening recommendation?
What is routine colonoscopy every 10 years, starting at age 40?
500
Number of years between colonoscopies if someone has average risk for colon cancer and had a normal first colonoscopy.
What is 10 years?
Because... the amount of time it takes for a <1cm polyp to develop into an invasive cancer is ~10 years
500
____ is one of the most important risk factors for colorectal cancer
What is Age?
Incidence rates increase with age and nearly 94% of new cases of colorectal cancer occurr in adults 45 years or older
500
Polyps syndrome with mucocutaneus pigmentations on lips
What is Peutz-Jeghers Syndrome?
500
Screening tests and their respective intervals (colonoscopy, CT colonography, Flex sig, and flex sig with FIT)
screening tests and intervals are as follows:
Colonoscopy, every 10 years
Computed tomographic (CT) colonography, every 5 years
Flexible sigmoidoscopy, every 5 years
Flexible sigmoidoscopy with FIT; sigmoidoscopy every 10 years, with FIT every year
500
Because the last colonoscopy showed a moderate hyperplastic polyp (5-10 mm), the next colonoscopy should be performed at
What is 5 years?