General colon

[size=20px]Which of these statements is correct regarding patients with suspected familial adenomatous polyposis (FAP)? A Screening sigmoidoscopy or colonoscopy should be performed between the ages of 15-25 years. B Surveillance colonoscopy is required every 1-2 years. C Proctocolectomy with ileal pouch-anal anastomosis has the same long-term rate of rectal cuff cancer compared to total colectomy and ileorectal anastomosis. D Second degree relatives should undergo genetic screening for FAP. E FAP is associated with increased risk of stomach, breast, and uterine cancer.[/size]

[size=20px]A four-year old presents to the emergency department with tissue prolapsing from the anus. On closer examination the tissue proves to be a three cm diameter polyp on a long narrow stalk. The stalk is ligated and the polyp excised. Pathology shows that it is a juvenile polyp. The next step in management for this patient with a juvenile polyp is A colonoscopy. B contrast enema. C genetic testing for polyposis syndromes. D magnetic resonance enterography. E observation.[/size]