In males, which surface of the prostate gland is accessible by digital examination?
Median lobe
Posterior
Superior
Anterior correct answers Posterior
An expected anal or rectal finding late in pregnancy is the presence of:
Rectal prolapse
Skin tags
Polyps
Hemorrhoids correct answer...
During the digital rectal examination, have the patient bear down to:
Spread the buttocks
Examine the prolapse of hemorrhoids
Relax the internal sphincter
Relax the external sphincter correct answers Relax the external sphincter
Mr. Tucker is a 56-year-old patient who presents to your office with a complaint of rectal
pain. On examination you are palpating the lateral and posterior rectal walls. What
should you expect to feel?
A. A smooth, even, and uninterrupted surface
B. Small nodules from internal hemorrhoids
C. Tissue folds from the valves of Houston
D. Bulging from the bladder wall correct answers A. A smooth, even, and uninterrupted
surface
The walls should feel smooth, even, and uninterrupted.
Mr. Yates is a 62-year-old patient who presents with a chief complaint of rectal pain.
The examiner will focus the history and examination on which known fact?
A. Rectal pain is almost always accompanied by an infection.
B. Rectal pain is almost always an indication of local disease.
C. A complaint of rectal pain is usually associated with a serious systemic process.
D. One of the most common causes of rectal pain is prostatic enlargement. correct
answers B. Rectal pain is almost always an indication of local disease.
Rectal pain is almost always indicative of a local disease.
, Mr. Bower is a 78-year-old patient who is unable to assume a standing position for a
routine rectal examination. Which is the best alternative position?
A. Lithotomy position
B. Left lateral position with the knees flexed
C. Knee-chest position
D. Prone position correct answers B. Left lateral position with the knees flexed
The rectal examination can be performed with the patient in any of these positions:
knee-chest; left lateral with hips and knees flexed; lithotomy, or standing with the hips
flexed and the upper body supported by the examining table.
A pregnant woman presents to the emergency department with the complaint of dark
stools. She tells the examiner, "I read in a magazine that this is a sign of bleeding."
Which question by the examiner is most applicable for this situation?
A. "Where did you read that information?"
B. "Have you been giving yourself enemas?"
C. "How much fruit and vegetable intake have you had in the last few days?"
D. "Are you taking prenatal vitamins?" correct answers D. "Are you taking prenatal
vitamins?"
During pregnancy, the stool color may be dark green or black if the woman is taking iron
supplements.
Mr. Allen is a 56-year-old patient who presents for a routine physical examination.
Before palpating his prostate, you should tell him, "You may feel an urge to _______."
A. urinate
B. defecate
C. vomit
D. faint correct answers A. urinate
In men, you can palpate the posterior surface of the prostate gland on the anterior wall.
Tell the patient that he may feel the urge to urinate but that he will not.
How is the anal ring assessed?
A. Inspection of the anus
B. External palpation of the anus
C. Use of a sigmoidoscope
D. Rotation of a finger within the anal sphincter correct answers D. Rotation of a finger
within the anal sphincter
Rotate your finger to examine the muscular anal ring.
Which example best describes how firm you expect a healthy prostate gland to feel?
A. It feels like a soft olive or grape.
B. It feels like the topside of a plastic LEGO piece.
C. It feels like a small baseball.
D. It feels like a pencil eraser. correct answers D. It feels like a pencil eraser.
The gland should feel like a pencil eraser—firm, smooth, and slightly movable—and it
should be nontender
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