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  #1  
Old 12-03-2012
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Default Internal Medicine-Gastrointestinal Q #6

A 59-year-old man presents for his routine colonoscopy and during his visit he has numerous large adenomas removed from his colon. In terms of follow-up, what should be recommended to the patient?

(A) Elective colectomy
(B) Repeat colonoscopy in 3 years
(C) Repeat colonoscopy in 10 years
(D) Sigmoidoscopy in 10 years
(E) Urgent colectomy
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Old 12-03-2012
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Ans A .....
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Old 12-03-2012
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Will Go with B colonoscopy every 3 years.

Colectomy would have been the answer if it was FAP.
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Old 12-04-2012
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The correct answer is B.
It is recommended that if a patient has numerous large adenomas removed from the colon, they should return for colonoscopy in 3 years.

Answer A is incorrect. Those who have had ulcerative colitis for > 10 years or those with familial adenomatous polyposis are candidates for prophylactic colectomy. This patientís situation does not warrant such treatment.
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