A 60-Year-Old Man Comes to the Office for an Annual

question 644

Multiple Choice

A 60-year-old man comes to the office for an annual preventive visit.  The patient feels healthy and has no symptoms.  He has a history of hypertension that is well controlled with lisinopril.  The patient does not use tobacco or alcohol; he has a balanced diet and exercises regularly.  He had a normal screening colonoscopy 10 years ago but says, "I had an awful experience during the bowel preparation, and I would rather not go through that again."  He has no family history of colorectal cancer.  Vital signs are normal, and physical examination shows no abnormalities.  The patient agrees to undergo flexible sigmoidoscopy, which reveals 2 pedunculated polyps of 1-1.5 cm in the descending colon; the polyps are removed, and histopathology findings are consistent with villous adenoma in both polyps.  Which of the following is the best recommendation for this patient regarding colorectal cancer screening?

• A)Colonoscopy in 1 year
• B)Colonoscopy in 3-5 years
• C)Colonoscopy now
• D)CT colonography now
• E)Sigmoidoscopy in 3-5 years

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Definitions:

Cloud And Ground

Refers to lightning discharges that occur between a cloud and the earth's surface.

Static Charge

An imbalance of electric charges within or on the surface of a material, which remains until it is able to move away through an electric current or electrical discharge.

Spray Painting

The application of paint or another substance through the air onto a surface via the use of a spray gun, creating a uniform and smooth layer.

Electrostatic Charges

Voltage developed by an excess or lack of electrons on an object.