Anus, Rectum, And Prostate

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Question 1
Free
Multiple Choice

Baby Sue is born with an imperforate anus. However, her outward anal appearance is normal. Which sign would indicate to the healthcare provider that she has a closed anal passageway?

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A

Development of a scaphoid abdomen

B

Vomiting after her first feeding

C

Bleeding from the rectum

D

Failure to pass meconium stool

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Question 2
Free
Multiple Choice

In males, which surface of the prostate gland is accessible by digital examination?

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A

Median lobe

B

Posterior

C

Superior

D

Anterior

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Question 3
Free
Multiple Choice

The prostatic sulcus:

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A

divides the right and left lateral lobes.

B

is the site of the seminal vesicle emergence.

C

refers to the anterior aspect of the prostate.

D

secretes clear viscous mucus.

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Question 4
Free
Multiple Choice

The rectal past medical history of all patients should include inquiry about:

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A

bowel habits.

B

dietary habits.

C

hemorrhoid surgery.

D

laxative use.

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Question 5
Free
Multiple Choice

The effects of aging on the gastrointestinal system lead to more frequent experiences of:

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A

constipation.

B

prolonged satiety.

C

diarrhea.

D

prostate glandular atrophy.

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Question 6
Multiple Choice

Factors associated with increased risk of prostate cancer include:

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A
African descent.
B
cigarette smoking.
C
a low-fat diet.
D
alcoholism.
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Question 7
Multiple Choice

The caliber of the urinary stream is routine information in the history of:

Choose correct answer/s
A
adolescents.
B
infants.
C
older adults.
D
sexually active young men.
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Question 8
Multiple Choice

Equipment for examination of the anus, rectum, and prostate routinely includes gloves and:

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A
a hand mirror and gauze.
B
a lubricant and penlight.
C
slides and normal saline.
D
swabs and culture medium.
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Question 9
Multiple Choice

Which is a risk factor for colorectal cancer?

Choose correct answer/s
A
High-fiber diet
B
Diet low in animal fats and proteins
C
Irish descent
D
Inherited BRAC2 mutation
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Question 10
Multiple Choice

Nodules found in the peritoneum through the anterior rectal wall:

Choose correct answer/s
A
are found with bidigital palpation.
B
are called shelf lesions.
C
are chronic fibrosis.
D
are found by having the patient bear down.
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Question 11
Multiple Choice

Perianal abscesses, fissures, or pilonidal cysts will cause the patient to experience:

Choose correct answer/s
A
bulging and wrinkling.
B
constipation and pallor.
C
diarrhea and redness.
D
tenderness and inflammation.
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Question 12
Multiple Choice

Palpation of the anal ring is done by:

Choose correct answer/s
A
bidigital palpation with the thumbs.
B
inserting the smallest finger into the anus.
C
pressing a gauze pad over the anus.
D
rotation of the forefinger inside the anus.
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Question 13
Multiple Choice

The posterior surface of the prostate can be located by palpation of the:

Choose correct answer/s
A
anal canal and perineum.
B
anterior wall of the rectum.
C
lateral wall of the anus.
D
lower abdomen and perineum.
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Question 14
Multiple Choice

The cervix may be palpated through the:

Choose correct answer/s
A
anterior rectal wall.
B
internal umbilical wall.
C
lateral urethral meatus.
D
posterior uterine surface.
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Question 15
Multiple Choice

Your patient's chief complaint is repeated, pencil-like stools. Further examination should include:

Choose correct answer/s
A
a stool culture.
B
parasite testing.
C
a digital rectal examination (DRE).
D
a prostate examination.
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Question 16
Multiple Choice

Very light tan or gray stools may indicate:

Choose correct answer/s
A
upper gastrointestinal bleeding.
B
obstructive jaundice.
C
lower gastrointestinal bleeding.
D
polyposis.
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Question 17
Multiple Choice

Tarry black stools should make you suspect:

Choose correct answer/s
A
internal hemorrhoids.
B
rectal fistula.
C
upper intestinal tract bleeding.
D
prostatic cancer.
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Question 18
Multiple Choice

Prostate-specific antigen (PSA) screening is controversial because:

Choose correct answer/s
A
there are many false-negative results.
B
PSA is produced by many other tissues.
C
it is less sensitive than digital rectal examination.
D
no data have proved that it decreases mortality.
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Question 19
Multiple Choice

Which finding in an infant may indicate lower spinal deformities?

Choose correct answer/s
A
Perirectal redness
B
Shrunken buttocks
C
Rectal prolapse
D
Dimpling in the pilonidal area
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Question 20
Multiple Choice

A lower spinal cord lesion may be indicated by which finding?

Choose correct answer/s
A
Lack of an anal wink
B
Rectal prolapse
C
Anal fistula
D
Small flaps of anal skin
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