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give the correct choice .......
1. 49 year old man h/ o constipation , next step of management ...........
2. 51 year old man h/o constipation , nest step of management ............
a. increase fiber or osmotic laxative
b. FOBT( fecal occult bood test )
c.colonoscopy
d. sigmoid with Ba. enema
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1. a. increase fiber or osmotic laxative
2. c.colonoscopy
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for 1--b. FOBT( fecal occult bood test )
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second one ............FOBT first or colonoscopy .........!!
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before age of 50 h/o constipation >>>>> 1. a. increase fiber or osmotic laxative
after age of 50 h/o constipation >>>>>>>>2. b FOBT
if FOBT is positive go for ccccccccc
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pls check out my HyperK question , cuz don't remeber if we need EKG initially regardless of Sx or not??
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The American Cancer Society makes the following recommendations:
Beginning at age 50, both men and women should follow one of these five screening options:
1/Yearly Fecal Occult Blood Test (FOBT) - the multiple-sample type (take-home); if positive results, a colonoscopy is needed
2/Flexible sigmoidoscopy every 5 years
3/Yearly fecal occult blood test plus sigmoidoscopy every 5 years ( this combination is preferred over either of these two tests alone)
4/Double-contrast barium enema every 5 years
5/Colonoscopy every 10 years
There is insufficient evidence to determine which screening method is best. The colonoscopy is the most thorough, but it takes longer, requires sedation, is slightly riskier (rarely, the bowel can be perforated), and much more expensive than a sigmoidoscopy.
People with certain digestive diseases (such as ulcerative colitis) or a family history of colon cancer may need earlier and more frequent testing
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the FOBT is highly unreliable; for case 2, yes if you will FOBT first, if +, you go for colonoscopy; but if negative, what you do??? repeat fobt?? Or urge the pt to go for colonoscopy anyway....
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sometimes in the q stem they give u anemia then def u go for colonoscopy
