1
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Internal Medicine EOR -PA Questions and
Answers (100% Correct Answers) Already
Graded A+
What age do you being colon CA screening? [ Ans: ] begin at
50
or if one family member has it then you begin at age 40 or 10
years before the age of onset in the family member
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Major of colorectal CAs are? [ Ans: ] adenocarcinomas
most specific and sensitive dx test for colorectal cancer? [ Ans: ]
Colonoscopy
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What can be used as a survallence method for recurrence of
colorectal cancer? [ Ans: ] CEA tumor marker
Villous adenomas vs. tubular adenomas? [ Ans: ] Villous
adenomas have a greater risk of cancer vs. tubular adenomas
which have a less risk
T/F: UC and crohns disease both pose an increased risk for
Colorectal CA? [ Ans: ] TRUE
6 major polyposis syndromes: [ Ans: ] Familial adenomatous
polyposis
Gardners Syndrome
Turcots syndrome
Peutz Jeghers
Famialial juvenile polyposis coli
Hereditary nonpolyposis CRC- lynch 1 and lynch 2
Familial adenomatous polyposis: [ Ans: ] - Autosomal Dominant
-adenomatous poylps in the colom
, 2
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-always involves the colon
- may invovle the duodenum ( 90%), stomach, jejunum, and ileum
- Prophylactic colectomy is usually recommended b/c risk of CRC
is almsot 100% by 3rd/4th decade of life
Gardners Syndrome [ Ans: ] - Polyps plus: osteomas, dental
abnormaltieis, benign soft tissuet umors, desmoid tumors,
sebaceous cysts
-risk of CRC is 100% by age 40
Turcot's Syndrome [ Ans: ] -Autosomal recessive
-polps plus cerebellar medulloblastoma or glioblastoma
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multiforme
Peutz Jeghers: [ Ans: ] - single or multiple harmatomas scattered
throughout the entire GI tract : small bowel, colon, stomach
pigmented spots around lips, oral mucosa, face, genitalia, and
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palmar surfaces
- harmatomas= low rate of maligancy
Familial juvenile polyposis coli [ Ans: ] - rare; presents in
childhood
- small risk of CRC
Hereditary nonpolyposis CRC: [ Ans: ] without adenomatous
poylposis
- Lynch 1: site specific CRC; early onset CRC;
-Lynch 2: cancer family syndrome; increased number and early
onset of other cancers such as: female genital tract, skin,
stomach, pancreas, brain, breast, biliary tract
What is the most common cause of large bowel obstruction in
adults? [ Ans: ] CRC- colorectal cancer
Most common presenting sx of CRC? [ Ans: ] abd. pain
Signs/sxs of right sided tumors in CRC: [ Ans: ] -melena
-occult blood in stool,
, 3
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-IDA
-chronic blood loss
Triad: anemia, weakness, RLQ mass
signs/sxs of left sided tumors in CRC: [ Ans: ] - change in bowel
habits
- signs of obstruction more common
-hematochezia is more common
Rectal Cancer vs. Colon cancer: [ Ans: ] Rectal cancer has a
higher recurrence rate and a lower 5 year survival rate than colon
© 2025 Assignment Expert
cancer
What is the only curative tx for CRC? [ Ans: ] Surgery - surgical
resection of tumor containing bowel and regional lymphatics
Guru01 - Stuvia
Radiation therapy can not be used for what? [ Ans: ] NOT used
for colon cancer,
but can be used for rectal cancer
Post tx follow up: [ Ans: ] -stool guiac test
-annual CT scan
-CXR for 5 years
-CEA levels checked eery 3-6 months
M/c type of non-neoplastic polyp is? [ Ans: ] Hyperplastic
(metaplastic) polyps
-no tx required
-Juvenile polyps should be removed
adenomatous polyps: [ Ans: ] -tubular: m/c but smallest risk of
malignacy
-tubulovillous : intermediate risk of malignancy
-villous: greater risk of malignancy
What causes diverticulosis? [ Ans: ] increased intraluminal
pressure--> causes pouches in the colon wall
, 4
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What is the most common location of diverticulosis? [ Ans: ]
Sigmoid colon
What is the dx test of choice for diverticulosis? [ Ans: ] Barium
enema
Tx for diverticulosis? [ Ans: ] high fiber foods ( such as bran) to
increase stool bulk
What causes diverticulitis? [ Ans: ] When feces become
impacted in the diverticulum --> causing erosion and
microperforation
Signs and sxs of diverticulitis? [ Ans: ] Fever, LLQ pain,
leukocytosis
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Test of choice for diverticulitis ? [ Ans: ] CT scan with oral and IV
contrast
What two tests are contraindicated in diverticulitis? [ Ans: ]
Guru01 - Stuvia
Colonscopy and barium enema
Pts with acute mesenteric ischemia often have pre-exisiting what?
[ Ans: ] Heart diseases such as congental HF or CAD
Acute mesenteric ischmeia usually occurs due to decreased
blood flow to what vessels? [ Ans: ] Superior messenteric vessels
What are the 4 types of acute mesenteric ischemias? [ Ans: ] A)
arterial embolism-- emboli are cardiac in oriign such as A.fib, MI,
valvular disease ; presentation is more sudden and painful then
other causes
B) Arterial thrombosis-- pts often have preexisting atherosclerotic
disease ; presentation is more gradual and less severe
C) nonoclusive mesenteric ischemia--splanchnic vasocontriction
due to low cardiac output; occurs in crticall ill pts
For Expert help and assignment solutions, +254707240657
Internal Medicine EOR -PA Questions and
Answers (100% Correct Answers) Already
Graded A+
What age do you being colon CA screening? [ Ans: ] begin at
50
or if one family member has it then you begin at age 40 or 10
years before the age of onset in the family member
© 2025 Assignment Expert
Major of colorectal CAs are? [ Ans: ] adenocarcinomas
most specific and sensitive dx test for colorectal cancer? [ Ans: ]
Colonoscopy
Guru01 - Stuvia
What can be used as a survallence method for recurrence of
colorectal cancer? [ Ans: ] CEA tumor marker
Villous adenomas vs. tubular adenomas? [ Ans: ] Villous
adenomas have a greater risk of cancer vs. tubular adenomas
which have a less risk
T/F: UC and crohns disease both pose an increased risk for
Colorectal CA? [ Ans: ] TRUE
6 major polyposis syndromes: [ Ans: ] Familial adenomatous
polyposis
Gardners Syndrome
Turcots syndrome
Peutz Jeghers
Famialial juvenile polyposis coli
Hereditary nonpolyposis CRC- lynch 1 and lynch 2
Familial adenomatous polyposis: [ Ans: ] - Autosomal Dominant
-adenomatous poylps in the colom
, 2
For Expert help and assignment solutions, +254707240657
-always involves the colon
- may invovle the duodenum ( 90%), stomach, jejunum, and ileum
- Prophylactic colectomy is usually recommended b/c risk of CRC
is almsot 100% by 3rd/4th decade of life
Gardners Syndrome [ Ans: ] - Polyps plus: osteomas, dental
abnormaltieis, benign soft tissuet umors, desmoid tumors,
sebaceous cysts
-risk of CRC is 100% by age 40
Turcot's Syndrome [ Ans: ] -Autosomal recessive
-polps plus cerebellar medulloblastoma or glioblastoma
© 2025 Assignment Expert
multiforme
Peutz Jeghers: [ Ans: ] - single or multiple harmatomas scattered
throughout the entire GI tract : small bowel, colon, stomach
pigmented spots around lips, oral mucosa, face, genitalia, and
Guru01 - Stuvia
palmar surfaces
- harmatomas= low rate of maligancy
Familial juvenile polyposis coli [ Ans: ] - rare; presents in
childhood
- small risk of CRC
Hereditary nonpolyposis CRC: [ Ans: ] without adenomatous
poylposis
- Lynch 1: site specific CRC; early onset CRC;
-Lynch 2: cancer family syndrome; increased number and early
onset of other cancers such as: female genital tract, skin,
stomach, pancreas, brain, breast, biliary tract
What is the most common cause of large bowel obstruction in
adults? [ Ans: ] CRC- colorectal cancer
Most common presenting sx of CRC? [ Ans: ] abd. pain
Signs/sxs of right sided tumors in CRC: [ Ans: ] -melena
-occult blood in stool,
, 3
For Expert help and assignment solutions, +254707240657
-IDA
-chronic blood loss
Triad: anemia, weakness, RLQ mass
signs/sxs of left sided tumors in CRC: [ Ans: ] - change in bowel
habits
- signs of obstruction more common
-hematochezia is more common
Rectal Cancer vs. Colon cancer: [ Ans: ] Rectal cancer has a
higher recurrence rate and a lower 5 year survival rate than colon
© 2025 Assignment Expert
cancer
What is the only curative tx for CRC? [ Ans: ] Surgery - surgical
resection of tumor containing bowel and regional lymphatics
Guru01 - Stuvia
Radiation therapy can not be used for what? [ Ans: ] NOT used
for colon cancer,
but can be used for rectal cancer
Post tx follow up: [ Ans: ] -stool guiac test
-annual CT scan
-CXR for 5 years
-CEA levels checked eery 3-6 months
M/c type of non-neoplastic polyp is? [ Ans: ] Hyperplastic
(metaplastic) polyps
-no tx required
-Juvenile polyps should be removed
adenomatous polyps: [ Ans: ] -tubular: m/c but smallest risk of
malignacy
-tubulovillous : intermediate risk of malignancy
-villous: greater risk of malignancy
What causes diverticulosis? [ Ans: ] increased intraluminal
pressure--> causes pouches in the colon wall
, 4
For Expert help and assignment solutions, +254707240657
What is the most common location of diverticulosis? [ Ans: ]
Sigmoid colon
What is the dx test of choice for diverticulosis? [ Ans: ] Barium
enema
Tx for diverticulosis? [ Ans: ] high fiber foods ( such as bran) to
increase stool bulk
What causes diverticulitis? [ Ans: ] When feces become
impacted in the diverticulum --> causing erosion and
microperforation
Signs and sxs of diverticulitis? [ Ans: ] Fever, LLQ pain,
leukocytosis
© 2025 Assignment Expert
Test of choice for diverticulitis ? [ Ans: ] CT scan with oral and IV
contrast
What two tests are contraindicated in diverticulitis? [ Ans: ]
Guru01 - Stuvia
Colonscopy and barium enema
Pts with acute mesenteric ischemia often have pre-exisiting what?
[ Ans: ] Heart diseases such as congental HF or CAD
Acute mesenteric ischmeia usually occurs due to decreased
blood flow to what vessels? [ Ans: ] Superior messenteric vessels
What are the 4 types of acute mesenteric ischemias? [ Ans: ] A)
arterial embolism-- emboli are cardiac in oriign such as A.fib, MI,
valvular disease ; presentation is more sudden and painful then
other causes
B) Arterial thrombosis-- pts often have preexisting atherosclerotic
disease ; presentation is more gradual and less severe
C) nonoclusive mesenteric ischemia--splanchnic vasocontriction
due to low cardiac output; occurs in crticall ill pts
