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Subclinical Carditis in ARF — RACP Adult Medicine MCQ

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HardCardiologySubclinical Carditis in ARFRACP Adult Medicine

A patient with long-standing extensive ulcerative colitis has an apparently complete en-bloc endoscopic resection of a well-demarcated low-grade dysplastic lesion. Expert review finds clear margins and no dysplasia elsewhere. What is the best next step?

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Correct answer: B — Confirm pathology and undertake short-interval expert IBD surveillance

Explanation lettering: E = shown as C · C = shown as E

B is correct. Completely resected visible low-grade dysplasia can be managed with expert pathology confirmation, MDT review and close surveillance. C overstates the colectomy threshold. D ignores field risk. E delays surveillance and undervalues targeted inspection. A does not prevent dysplasia.

Reference: Cancer Council Australia, Clinical practice guidelines for colorectal cancer: https://www.cancer.org.au/clinical-guidelines/bowel-cancer