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Prep4USMLE Forum » USMLE Step 2 CK Forum » Internal Medicine Forum

screening

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11 Posts

dr confused
Forum Senior

Topics: 67
Posts: 108

09/30/07 - 04:35 PM

What is the appropriate mode of colorectal cancer screening for the following case?

A 77-year-old man who had a colonoscopy last month and was found to have a 1-cm tubulovillous adenoma completely excised.

(A) Colonoscopy now and every 10 years
(B) Flexible sigmoidoscopy now and every 5 years
(C) Colonoscopy at age 50 and every 10 years
(D) Colonoscopy now and every 10 years
(E) Stool occult cards every year; colonoscopy if positive
(F) Colonoscopy at age 40 and every 5 years
(G) Colonoscopy in 3 years
(H) Colonoscopy in 1 year
(I) Colonoscopy every 1 to 2 years

Kamsi
Forum Guru

Topics: 103
Posts: 347

09/30/07 - 04:45 PM

H to check if it has disappeared or recurred

peraspera
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Topics: 38
Posts: 233

09/30/07 - 06:38 PM

GGG

sandra
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Topics: 200
Posts: 468

01/09/08 - 04:51 PM

whts the answer?

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oldkidontheblock
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Topics: 54
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01/10/08 - 12:50 AM

H

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dr.wad
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01/10/08 - 03:24 AM

cool doctor
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01/10/08 - 05:14 AM

neurom
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Topics: 2
Posts: 127

01/10/08 - 08:14 AM

G. Follow-up colonoscopy in 3 months, then repeat in 3 years.

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Aashi
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Topics: 113
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01/10/08 - 08:57 AM

G

Edited by Aashi on 01/10/08 - 09:30 AM

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DrVirgo
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01/10/08 - 09:13 AM

#10

Aashi wrote:
(F) Colonoscopy at age 40 and every 5 years

I'm curious why you say colonoscopy at age 40 -he has no FH of colon cancer

Don't we usually start at 50 in healthy. only start at 40 or 10 years before the dx. of family member who was dxed with colon cancer IF there IS a fam hx?

Also, we don't screen past 80, so I would go with G.
test again in 3 years, and not after that... he is 77 now.

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Aashi
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01/10/08 - 09:39 AM

#11

Sorry Dr virgo..It was a mistake in copy pasting the answer....its G

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