Physical Assessment - Rectal Exam with correct answers 2024
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Physical Assessme65
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Physical Assessme65
Asymptomatic abnormality located in midline superficial to the coccyx or lower sacrum correct answers Pilonidal cyst
Can present with slight drainage and small tuft of hair
Dilated hemorrhoidal veins covered with skin BELOW pectinate line are... correct answers External hemorrhoids
(Thromb...
Physical Assessment - Rectal Exam
Asymptomatic abnormality located in midline superficial to the coccyx or lower sacrum
correct answers Pilonidal cyst
Can present with slight drainage and small tuft of hair
Dilated hemorrhoidal veins covered with skin BELOW pectinate line are... correct
answers External hemorrhoids
(Thrombosed)
Pain with defecation and sitting
Enlargement of normal vascular cushions ABOVE pectinate line... correct answers
Internal hemorrhoids
(Prolapsed)
May cause *bright-red bleeding*
What size is the prolapse of rectum when the entire wall is involved? correct answers
Large
What size is the prolapse of rectum when only the mucosa is involved? correct answers
Small
Painful oval ulceration of anal canal correct answers Anal Fissure
Swollen "sentinel" skin tag just below this abnormality is indicative of... correct answers
Anal fissure
Spastic sphincter is indicative of... correct answers Anal fissure
Inflammatory tract or tube that opens at one end into the anus or rectum and at the
other end onto the skin surface (or into another viscus) correct answers Anorectal
fistula
An abscess usually antedates
Polyps in rectum that develop on a stalk are referred to as... correct answers
Pedunculated
Polyps in rectum that lie on the mucosal surface are referred to as... correct answers
Sessile
, What procedure(s) is used to differentiate benign from malignant polyps? correct
answers Endoscopy and biopsy
A firm, nodular, rolled edge lesion in the rectum suggests... correct answers Cancer of
the rectum
In a woman, a shelf of metastatic tissue develops in what area? correct answers
Rectouterine pouch
(Behind the cervix and uterus)
How should a normal prostate gland feel on digital rectal exam? correct answers
Rounded, heart-shaped structure approximately 2.5 cm long
What is the only part of the prostate that can be palpated? correct answers The
posterior surface
Fever, UTI symptoms (frequency, urgency, dysuria, incomplete voiding), and sometimes
back pain is indicative of... correct answers Acute bacterial prostatitis
How does a prostate with acute bacterial prostatitis feel? correct answers Tender,
swollen, "boggy", and warm
What pathogens cause acute bacterial prostatitis? correct answers GN aerobes (E.
coli, Enterococcus, and Proteus)
In men younger than 35, consider N gonorrhea and C trachomatis
How does a prostate with chronic bacterial prostatitis feel? correct answers Normal, no
swelling and no tenderness.
E. coli is cultured from fluid
Symptomatic men who report obstructive and inflammatory symptoms on voiding
without evidence of prostate or UTI may have... correct answers Chronic pelvic pain
syndrome
Nonmalignant enlargement of the prostate gland that increases with age correct
answers Benign Prostatic Hyperplasia
Obliteration of the median sulcus of prostate with a notable protrusion into the rectal
lumen is indicative of... correct answers Benign Prostatic Hyperplasia
How can BPH present? correct answers Irritative (urgency, frequency, nocturia)
Obstructive (decreased stream, incomplete emptying, straining)
Or Both
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