phuluong2k
Forum Fanatic
Topics: 714
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A 37-year-old accountant presents to ask for advice regarding the future management of his ulcerative colitis. He has had pancolitis for the past 19 years and has been told that he is at an increased risk for developing colorectal cancer. He asks for the physician's recommendation regarding appropriate surveillance. Which of the following is the most appropriate response?
A. Annual stool guaiac testing
B. Barium enema
C. Colonoscopy
D. Colonoscopy and multiple biopsies
E. Flexible sigmoidoscopy with multiple biopsies
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| nisha
lil monkey
Topics: 146
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d
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IM resident
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| chemamr
Moderator and PGY1
Topics: 703
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D
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Any time something is written against me, I not only share the sentiment but feel I could do the job far better myself.
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| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
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Both of you are right, i picked C
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| frontal
Forum Guru
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Posts: 421
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I picked C too. How will the biopsies help and how will the sites be chosen?
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| phuluong2k
Forum Fanatic
Topics: 714
Posts: 2,008
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In the explanation, they can make some biopsy even without polyps because high risk of cancer
I don't know how they choose the sites
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