stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
ICM: GI Colon Pt. 2 Flashcards | StudBud
Explore
/
ICM: GI Colon Pt. 2
ICM: GI Colon Pt. 2
30 terms
·
StudBud Administration
·
98 plays
IBD, CRC, polyps
Flashcards
30 cards
F
Practice quiz
P
Host live
L
Questions
30
Answers
1
MC location affected in Crohn's disease?
Terminal Ileum
Jejunum
Cecum
Duodenum
2
A pt shows signs of obstruction + "pencil stools". Is this likely a R- or L-sided tumor?
Right-sided tumor
Left-sided tumor
3
Virtually ALL colorectal tumors arise from...
Kaposi sarcoma
Squamous cells
Adenomas
Lymphomas
4
Polyps with no malignant potential
Non-neoplastic polyps
Adenomatous polyps
5
Chronic transmural inflammatory dz that can affect any part of the GI tract
Peptic ulcer disease
Crohn's Disease
Toxic Megacolon
Ulcerative colitis
6
Total or segmental non-obstructive chronic dilatation plus systemic toxicity. GUESS WHO?
Crohn's Disease
CRC
Ulcerative Colitis
Toxic Megacolon
7
WOF is
NOT
a characteristic of Crohn's disease?
Skip lesions
"Fat Creeping"
Noncaseating granulomas
Limited to mucosa and submucosa
8
WOF is a curative treatment method for complicated ulcerative colitis?
Immunosuppressive agents
Gastrectomy
Total colectomy
Sulfasalazine
9
MC site of distant spread of colorectal cancer
Lumbar/vertebral veins to lungs
Spleen
Liver
Pancreas
10
Joe has a very malignant polyp in rectosigmoid region. Which combo is MOST malignant?
Tubular + sessile
Villous + sessile
Hyperplastic (metaplastic) polyps
Tubulovillous + pedunculated
11
What would be seen on a plain abd. film for someone with toxic megacolon?
Dilatation of terminal ileum >6cm + absence of haustra
Dilatation of jejunum >6cm + absence of haustra
Dilatation of right colon >6cm + absence of haustra
Dilatation of duodenum >6cm + absence of haustra
12
Anna has no family or personal history of CRC. When should she be screened?
50yoa
40yoa
She doesn't need to be screened
60yoa
13
Smoking
decreases
the risk for ulcerative colitis.
TRUE
FALSE
14
WOF is the most common type of adenomatous polyps?
Tubulovillous
Tubular
Villous
15
WOF tests/procedures is used to stage CRC?
Barium enema
CEA
CT
Colonoscopy
16
14yo c/o hematochezia, tenesmus, abd pain, & freq., small bowel mvmts. No compl. How do you Tx?
Sullfasalazine
Bile acid sequestrants
Immediate surgery
Chemo + radiation
17
Pt w/ Hx of UC has SEV bloody diarrhea, tachyC, alt. MS. Unresp. to med mgmnt. Surg. of choice?
Subtotal colectomy w/ end-ileostomy
Small bowel resection
Total gastrectomy
Total colectomy
18
Most common cause of large bowel obstruction in adults.
Crohn's disease
Colorectal cancer
Ulcerative colitis
Toxic megacolon
19
38yo pt. has familial adenomatous polyposis (FAP) what is his risk outlook for CRC?
50%
20%
100%
Pt not at risk
20
55yo AA male whose father was Dxd w/ CRC at age 45 should've been screened at what age?
50
40
35
45
21
Bloody stool is usually associated with Crohn's dz.
TRUE
FALSE
22
Peach Salinger has a FHx of CRC. Her father was Dxd at age 55. When should she be screened?
35yoa
50yoa
40yoa
45yoa
23
Curative Tx for colorectal cancer
Chemo + radiation
Immunosuppressive agents
Sulfasalazine
Surgery
24
Colonoscopy shows a cobblestone appearance + patchy (skip lesions). What do you suspect?
Crohn's disease
Ulcerative Colitis
Irritable bowel syndrome
Peptic ulcer disease
25
WOF is/are characteristic of ulcerative colitis?
Interrupted involvement of rectum and/or colon
Crypt abscesses, continuous lesion, psuedopolyps
Noncaseating granulomas, creeping fat, cobblestoning
Transmural inflammation of mucosa and submucosa
26
Type of adenomatous polyps with greatest risk of malignancy.
Tubulovillous
Pedunculated
Tubular
Villous
27
What is the leading cause of death in ulcerative colitis?
Toxic Megacolon
Sclerosing cholangitis
Colon CA
Psychiatric issues (depression)
28
Pt has N/V, RLQ pain, non-bloody diarrhea, 15lb weight loss in past 3 months. Gold std to Dx?
Hydrogen breath test
Endoscopy w/ biopsy
Stool cultures
Pillcam
29
WOF is
not
a risk factor for CRC?
Low-fat, high-fiber diets
Major polyposis syndromes
Age >50
Adenomatous polyps
30
Treatment for
acute
exacerbations
of Crohn's disease & Ulcerative Colitis
Immunosuppressive agents
Metronidazole
Prednisone
Sulfasalazine