HHT Screening — RACP Adult Medicine MCQ
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Correct answer: E — Confirm pathology at an IBD dysplasia conference and undertake intensified surveillance
Explanation lettering: E = shown as A · A = shown as E
A is correct. Completely resected visible low-grade dysplasia can be managed with expert pathology confirmation, IBD multidisciplinary review and close site/colon surveillance when no unresectable or multifocal dysplasia remains. B overstates the indication for colectomy. C ignores field cancerisation. D delays surveillance and undervalues targeted inspection. E corticosteroid does not prevent dysplasia.
Reference: Cancer Council Australia, Clinical practice guidelines for colorectal cancer: https://www.cancer.org.au/clinical-guidelines/bowel-cancer