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PRACTICE GUIDELINES

Continuing Medical Education Questions: February 2015

Palmer, William MD; Brahmbhatt, Bhaumik MBBS; DeVault, Kenneth R MD, FACG

Author Information
American Journal of Gastroenterology: February 2015 - Volume 110 - Issue 2 - p 263
doi: 10.1038/ajg.2015.3
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Questions:

  1. Which one of the following statements is correct regarding precursor colon lesions in Lynch syndrome?
    • A. Lynch syndrome lesions are more commonly discovered in the distal colon and tend to be elevated/polypoid.
    • B. Lynch syndrome colon adenomas progress to adenocarcinoma in an average of 6–8 years.
    • C. An average of more than 15 adenomas are detected during the first colonoscopy of patients with Lynch syndrome.
    • D. Colon cancer screening in patients with Lynch syndrome should begin between age 20 and 25 years, and be performed at least every 2 years.
  2. Which one of the following statements is correct regarding extracolonic cancer screening in patients with familial adenomatous polyposis (FAP)?
    • A. FAP patients with gastric fundic gland polyps found to harbor low-grade dysplasia should be considered for surgical resection.
    • B. Annual thyroid ultrasound is indicated for FAP patients starting at the time of diagnosis.
    • C. Regular screening for gallbladder, bile duct, and pancreatic cancers is indicated for FAP patients.
    • D. Duodenal adenomas are commonly found in FAP patients, but rarely progress to malignancy.
  3. Which one of the following statements is correct regarding the diagnosis and management of serrated polyposis syndrome (SPS)?
    • A. An individual meets the criteria for SPS if he or she has any number of serrated polyps of any size in the colon, as well as a first-degree relative diagnosed with SPS.
    • B. Routine genetic testing is indicated for patients diagnosed with SPS through colonic findings.
    • C. Screening recommendations for extra-colonic cancers in SPS patients are similar to those for patients with Lynch syndrome.
    • D. SPS patients should undergo colonoscopy every 5 years.
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