Gastroenterology Education and CPD for trainees and specialists

1. All the following are the risk factors for gastric cancer except one:

1. Helicobacter pylori infection
2. Atrophic gastritis
3. Pernicious anaemia
4. Alcohol abuse
5. Smoking

2. All the following investigations may be needed to stage gastric adenocarcinoma except one:

1. Staging CT
2. Laparoscopy
3. Bone scan
4. EUS
5. Exploratory laparotomy

Explanation :Laparoscopy is routinely used following CT and EUS in patients with T2 or greater gastric cancer prior to radical treatment. It is also considered in any patients where there is suspicion of peritoneal spread on CT or EUS such as in the presence of small volume ascites. Patients with advanced disease (>T2N0) who have not undergone full body PET-CT require a bone scan to exclude bony metastases.

Gastroenterology training and education

MCQ On Gastric cancer

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