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50 Cards in this Set
- Front
- Back
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All pts w/ a postive FOBT need?
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colonoscopy
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What is the most specific and sensitive for colorectal cancer?
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Colonoscopy(also diagnostic and therapeutic)
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m/c site of distant spread of colorectal cancer?
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liver
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Which has higher malignancy? Tubular or villous?
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Villous
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m/c/c of large bowel obstruction in adults?
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cancer
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pencil like stools in?
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L sided colon cancer
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Radiation therapy is used in colon cancer. T/F
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F, it's used in rectal cancer
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M/c nonneoplastic polyp?
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Hyperplastic(metaplastic) polyp
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Most sensitive for diagnosing pancreatic cancer
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ERCP
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Test used to determine spread of pancreatic cancer
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CT
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Tumor markers for pancreatic cancer
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CA 19-9, CEA
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Describe the whipple's procedure
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Removal of half the stomach, gall bladder, cystic duct, CBD, duodenum, head of pancreas, prox jejunum, regional lymph nodes. The jejunum is then attached to the stomach and the hepatic duct is attached to the jejunum
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What arteries supply the pancreas?
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Celiac & superior mesenteric artery
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What forms behind the pancreatic neck?
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Portal vein
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Pancreatic juice is under control of?
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Vagus nerve, CCK, secretin
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m/c type of pancreatic cancer
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ductal adenocarcinomas
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m/c complication after whipple's procedure
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pancreatic fistula
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Billroth I
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distal stomach attached to the jejunum
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Billroth II
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greater curvature attached to the jejunum
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Arteries that supply the stomach
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Celiac, proper and common hepatic, splenic
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Stomach is innervated by?
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Vagus nerve
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Standard of diagnosis for bladder cancer?
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Cystoscopy
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m/c bladder cancer
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transitional cell carcinoma
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RF for TCC
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smoking, cyclophosphamide exp, arylamine exp
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Benign gastric tumors?
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Hyperplastic, fundic gland, adenomatous polyps
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what artery provides blood supply to the bladder?
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internal iliac
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Initial staging for bladder cancer?
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TURBT(transurethral resection of bladder tumor)
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Radical cystectomy for M & F?
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M: remove prostate, seminal vesicle; F: remove uterus, cervix, ovaries
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radical cystectomy is followed by what procedure
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urinary diversion by ileal conduit
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M/c site of distant mets for prostate cancer?
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Bones
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2 serum markers used for prostate cancer
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PSA & phosphatase
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Initial dx test for prostate cancer
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U/S guided needle biopsy
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Chx of psa produced by cancer
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bound by plasma proteins
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What is PVR? What dz state is it seen in & what volume is indicative of such a dz?
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Postvoid residual. BPH. 50-100mL
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Medical management of BPH
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alpha blockers, 5 alpha reductase inhibitors(finasteride)
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Surgical management of BPH
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TURP
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what type of NSCLC has the lowest association w/ smoking?
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adenocarcinoma
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superior vena cava syndrome is m/c a/w what kind of cancer
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sclc
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RF for malignancy for a solitary pulmonary nodule?
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>1cm, indistinct borders, increasing age, documented growth
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popcorn calcification indicative of?
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harmatoma
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RF for hepatic adenomas
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F using OC's for >5yrs w/ high amts of estrogen
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In regards to HCC, what is the finding on CT?
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hypervascularity on arterial phase
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What level of AFP is considered dx of HCC?
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400
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tumor markers for nonseminomatous germ cell tumors
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beta-HCG, AFP, LDH
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Management for nonseminomatous germ cell tumors include?
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Radical inguinal orchiectomy, RPLND
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What else is proven to be effective in testicular cancer?
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Radiation therapy and chemotherapy
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Types of non-germ cell tumors
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leydig cells(hormonally active), sertoli cells
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What is used to confirm the dx of esophageal cancer?
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Upper endoscopy w/ biopsy & brush cytology
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Penetration into the muscularis propia
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Stage B1 colorectal cancer
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Penetration through the muscularis propia
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Stage B2 colorectal cancer
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