Riddler Question #1 <ul><li>A thirty-three year old male is seen for a scheduled apt for GERD and inquires about colon cancer screening. He is a nonsmoker, nondrinker, active duty duty male. His father died of colon cancer at the age of 54, two years after his initial diagnosis. At what age are you going to recommend initiation of colon cancer screening? </li></ul>
Riddler #1 - Answer <ul><li>C) 40 y/o </li></ul><ul><li>Average risk: fecal occult blood test annually or sigmoidoscopy every 5 years or both, or Colonoscopy every 10 years </li></ul><ul><li>One 1 st degree relative with colorectal cancer or two second degree relatives: 40 years old and screen with colo every 10 years </li></ul><ul><li>Two or more 1 st degree relatives or one 1 st degree relative diagnosed at <40 years of age: 40 years old or 10 years younger than the earliest patient and screen every 5 years </li></ul><ul><li>Inflammatory bowel disease: colonoscopy every 1-2 years with multiple biopsies </li></ul><ul><li>The American cancer Society, The United States Preventive Services Task Force, and the GI Consortium Panel (Smith et al.; Pignone et al) </li></ul>
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