ANUS RECTUM AND PROSTATE WITH CORRECT ANSWERS 2024
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ANUS RECTUM AND PROSTATE
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ANUS RECTUM AND PROSTATE
1. A 36-year-old married bank teller comes to your office, complaining of pain with defecation and occasional blood on the toilet paper. She states that last week she had food poisoning with nausea, vomiting, and diarrhea. She had runny stools but no black or bloody stools. Ever since her illness, ...
ANUS RECTUM AND PROSTATE
1. A 36-year-old married bank teller comes to your office, complaining of pain with
defecation and occasional blood on the toilet paper. She states that last week she had
food poisoning with nausea, vomiting, and diarrhea. She had runny stools but no black
or bloody stools. Ever since her illness, she has continued to have severe pain with
bowel movements. She now tries to put off defecation as long as possible. Although she
is having constipation she denies any further diarrhea or leakage of stool. She has a
past medical history of hypothyroidism and two spontaneous vaginal deliveries. She has
had no other chronic illnesses or surgeries. She does not smoke and rarely drinks. She
has two children. There is no family history of breast or colon cancer. She has had no
weight gain, weight loss, fever, or night sweats. On examination she is afebrile, with a
blood pressure of 115/70 and a pulse of 80. On abdominal examinat correct answers
C) Anal fissure
2. A 42-year-old house painter comes to your clinic, complaining of pain with defecation
and profuse bleeding in the toilet after a bowel movement. He was in his usual state of
health until 2 weeks ago, when he was injured in a car accident. After the accident he
began taking prescription narcotics for the pain in his shoulder. Since then he has had
very few bowel movements. His stool is hard and pebble-like. He states he has always
been "regular" in the past, with easy bowel movements. His diet has not changed but he
states that he is exercising less since the accident. His past medical history includes
hypertension and he is on a low-dose diuretic. He has had no other chronic illnesses or
surgeries. He has a family history of hypertension, coronary heart disease, and diabetes
but no cancer. He is divorced and has three children. He smokes two packs of
cigarettes per day and quit drinking more than 10 years ago. He correct answers B)
External hemorrhoid
3. A 75-year-old retired construction worker comes to your clinic, complaining of bright
red blood in the toilet for the last several months. He has no pain with defecation but
has occasional constipation. He states he eats a healthy diet with fruits and vegetables
and walks 2 miles a day. He has had a 10-pound weight loss over the last 3 months. He
denies fever or night sweats. His medical history includes high blood pressure, coronary
artery disease, and arthritis. He has also had an appendectomy. He smoked for 40
years, two packs a day, but quit 15 years ago. He used to drink alcohol but doesn't now.
His father died in his 60s of a heart attack and his mother had breast cancer in her 70s.
On examination he appears his stated age and sits comfortably on the examining table.
His blood pressure is 150/85 and his pulse is 88. He is afebrile. His cardiac, lung, and
abdominal examinations are normal. Visualization of th correct answers D) Anorectal
cancer
4. A 60-year-old coach comes to your clinic, complaining of difficulty starting to urinate
for the last several months. He believes the problem is steadily getting worse. When
asked he says he has a very weak stream and it feels like it takes 10 minutes to empty
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