FULL AND WELL DETAILED ANSWERS GRADED A+ FOR A
GUARANTEED PASS
Enlargement of the prostate may cause:
A. urinary retention.
B. a forceful urinary stream.
C. infertility.
D. prostate cancer. - ✅✅A: Correct Symptoms of an enlarged prostate relate to
urinary obstruction: hesitancy, decreased force and caliber of stream, dribbling,
incomplete emptying of the bladder, frequency, urgency, nocturia, and dysuria.
The primary function of the rectum is:
A. formation of feces.
B. absorption of water.
C. the absorption of nutrients.
,D. storage of feces. - ✅✅D: CorrectAbove the anorectal junction, the rectum
dilates and turns posteriorly into the hollow of the coccyx and sacrum, forming the
rectal ampulla, which stores flatus and feces.
Hemorrhoids are:
A. ulcerations of the anal ring.
B. varicose veins in the anal region.
C. inflammatory lesions of the anal region.
D. precursors to rectal polyps. - ✅✅B: CorrectExternal hemorrhoids are varicose
veins that originate below the anorectal line and are covered by anal skin. Internal
hemorrhoids are varicose veins that originate above the anorectal junction and are
covered by rectal mucosa.
Mrs. Jackman brings her 6-year-old daughter in for an office visit. While
examining the perineum, you observe hemorrhoids. This finding suggests:
A. sexual abuse.
B. chronic constipation.
C. a diet high in fibrous foods.
,D. an underlying problem such as portal hypertension. - ✅✅D;
CorrectHemorrhoids are rare in children, and their presence suggests a serious
underlying problem such as portal hypertension.
When examining the prostate, you feel fluctuant softness. This finding indicates:
A. prostatic abscess.
B. posterior rectal wall neoplasm.
C. prostatic hypertrophy.
D. rectal prolapse. - ✅✅A: CorrectA prostatic abscess is felt as a fluctuant mass
in the prostate.
A patient tells the examiner that she has liquid stools containing small flecks of
blood stained mucous. Stools of this type result from:
A. amebiasis.
B. excessive fiber intake.
C. excessive dietary beef.
D. insufficient fluid intake. - ✅✅A: CorrectSmall flecks of blood-stained mucus
in liquid feces are indicative of amebiasis.
, Which examination finding in the child is a clue to the diagnosis of Hirschsprung
disease?
A. Passing of frequent, loose stools in the absence of other symptoms
B. A consistently empty rectum with a history of constipation
C. Itching and irritation around the anus
D. Rectal prolapse - ✅✅B: CorrectA consistently empty rectum in the presence
of constipation is a clue to the diagnosis of Hirschsprung disease.
In which situation would the examiner perform a rectal examination on an infant or
child?
A. A newborn infant passes a greenish-black viscous stool 12 hours after birth.
B. The mother of a 3-month-old baby describes the baby's stools as "loose and
golden yellow."
C. A stool of a 6-year-old child is guaiac positive.
D. A mother tells the examiner that her 3-year-old child was sent home from
daycare after two episodes of diarrhea. - ✅✅C: CorrectRectal examination is not
always performed on infants and children unless there is a particular problem. An