Anus, Rectum, Prostate Online exam with correct answers 2024
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Anus, Rectum, Prostate Online
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Anus, Rectum, Prostate Online
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? correct answers a smooth, even, and uninterrupted surface
The walls should feel smooth, even,...
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? correct answers 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? correct
answers Rectal pain is almost always an indication of local disease.
Mr. Horstman is a 42-year-old patient who presents with a complaint of rectal pain.
During the examination, you observe inflammation of the sacrococcygeal area. The
patient complains of pain when it is palpated. Which problem is not consistent with such
a finding? correct answers Hemorrhoids
External hemorrhoids: Internal: no discomfort unless they are thrombosed, prolapsed, or
infected.
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? correct answers 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? correct answers
"Are you taking prenatal vitamins?"
During pregnancy, the stool color may be dark green or black due 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 correct
answers Urinate
In males, 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 correct answers 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?
correct answers It feels like a pencil eraser.
The gland should feel like a pencil eraser—firm, smooth, and slightly movable—and it
should be nontender.
What is the best method of verifying anal patency in a newborn? correct answers
Checking for the passage of meconium in the first 24 to 48 hours after birth
If there is no passage of stool in 24 hours in a newborn, suspect rectal atresia,
Hirschsprung disease (congenital megacolon), or cystic fibrosis.
Mr. Santos is a 67-year-old patient who presents to your office. On examination, you
palpate his prostate, noting that it is hard and irregular. The median sulcus is not
palpable. These findings are consistent with: correct answers prostate cancer.
Cancer of the prostate - a hard, irregular nodule may be palpable on prostate
examination.
A toddler requires a rectal examination. How do you position the child? correct answers
supine
Perform the rectal examination in infants and young children with the child lying on his
or her back.
Mr. Mills, a 38-year-old patient, presents with severe rectal pain and fever. Which
condition might be the cause of the symptoms? correct answers A perianal abscess
Perianal abscess: infection of the soft tissues surrounding the anal canal, with formation
of a discrete abscess cavity. Painful and tender, fever, pain on defecation or with sitting
or walking.
"Boggy, enlarged, and tender" on rectal examination is descriptive of which condition?
correct answers Prostatitis
Seminal vesicles are often involved and may be dilated and tender on palpation;
however, the prostate may feel boggy, enlarged, and tender or have palpable areas of
fibrosis that simulate neoplasm
A newborn does not pass meconium in the first 24 hours after birth. Which is a problem
that must be suspected? correct answers Cystic fibrosis
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