QuestionSBA
QuestionChoice
Peptic ulcer disease would not present with the features described above. It would present as epigastric pain, bloating, nausea and reflux. This is therefore not the correct answer.
10008174
e
Peptic ulcer disease
QuestionChoice
This is not the correct answer. Crohn’s disease typically presents with crampy abdominal pain in addition to diarrhoea. It is usually diagnosed in people between 15 and 40 years old.
10008172
c
Crohn’s disease
QuestionChoice
Although haemorrhoids can account for rectal bleeding, they do not typically cause a change in bowel habits and are not associated with smoking. Therefore, this answer is not correct.
10008173
d
Haemorrhoids
QuestionChoice
Colorectal cancer is the fourth most common cancer in the UK. Strong risk factors include increasing age, increased alcohol intake, and smoking. All of these are present in this patient. The presentation of this patient is also consistent with the presentation of colorectal cancer, with a change in bowel habits and rectal bleeding.
10008170
a
Colorectal cancer
QuestionChoice
While some features of this case are in line with the features of ulcerative colitis, this is not the correct answer. The presentation of ulcerative colitis commonly includes diarrhoea stained with mucus or blood which this patient does not have. Ulcerative colitis also tends to cause pain in the left iliac fossa.
10008171
b
Ulcerative colitis
Concept
Chapter
2693
3731
Colorectal Cancer
Topic
136
Gastroenterology
14181
A 75-year-old man visits the GP surgery. Over the past 6 months, he has noticed some changes in his bowel habits. His stools have become looser, and he describes a feeling of incomplete evacuation. Upon questioning, he also reports one episode of bleeding from his rectum.

He is otherwise healthy, with no medical conditions other than type II diabetes. He drinks about 16 units of alcohol a week and is a life-long smoker.

Which of the following is the most likely diagnosis?
a