Colorectal Cancer Quiz: Detect & Manage

1. What is the most common type of colorectal cancer?

Adenocarcinoma

Squamous cell carcinoma

Lymphoma

Melanoma

2. Which screening method can both detect and remove polyps?

Fecal occult blood test

Colonoscopy

CT scan

Blood tumor markers

3. At what age should average-risk individuals begin colorectal cancer screening?

Age 40

Age 45

Age 50

Age 55

4. Which of the following is a major risk factor for colorectal cancer?

High fruit intake

Family history of colorectal cancer

Regular exercise

Young age

5. The TNM staging system for colorectal cancer includes which components?

Tumor, Node, Metastasis

Type, Number, Mutation

Tissue, Necrosis, Margin

Treatment, Nodes, Metastatic

6. Which genetic syndrome significantly increases colorectal cancer risk?

Marfan syndrome

Lynch syndrome

Turner syndrome

Klinefelter syndrome

7. What is a common early symptom of colorectal cancer?

Fever and chills

Change in bowel habits

Weight gain

Increased appetite

8. Which inflammatory bowel disease is associated with increased colorectal cancer risk?

Celiac disease

Irritable bowel syndrome

Ulcerative colitis

Diverticulosis

9. The carcinoembryonic antigen (CEA) is used primarily for what purpose?

Screening asymptomatic populations

Monitoring treatment response and recurrence

Initial diagnosis confirmation

Determining surgical candidacy

10. Which surgical procedure involves removal of the colon and rectum with permanent colostomy?

Hemicolectomy

Abdominoperineal resection

Low anterior resection

Polypectomy

11. Adjuvant chemotherapy for stage III colorectal cancer typically uses which regimen?

5-FU and leucovorin alone

FOLFOX (5-FU, leucovorin, oxaliplatin)

Bevacizumab monotherapy

Immunotherapy only

12. What is the primary goal of neoadjuvant therapy in rectal cancer?

Cure metastatic disease

Shrink tumor and improve surgical outcomes

Replace surgical intervention

Prevent infection

13. Which type of polyp has the highest malignant potential?

Hyperplastic polyp

Tubular adenoma

Villous adenoma

Sessile serrated polyp

14. Hereditary nonpolyposis colorectal cancer (HNPCC) accounts for what percentage of colorectal cancers?

2-4%

10-15%

25-30%

40-50%

15. Which nursing intervention is essential for patients with a new colostomy?

Restrict fluid intake immediately

Teach skin care and pouching techniques

Avoid discussing psychosocial concerns

Limit dietary fiber indefinitely