NBCE: Minor Surgery & Proctology / (8-9)
Oregon Board Exam Graded A+ 2025
14% Risks, complications, and legal limitations:
All chiropractic students graduating after April 18, _____ who wish to sit for the Oregon Board must
have _____ hours of lecture AND ____ hours of lab on their transcripts. - Answer- 1998
24
12
14% Risks, complications, and legal limitations:
______ is the number one complication of minor surgery! - Answer- Anxiety
14% Risks, complications, and legal limitations:
If not managed properly, even the simplest procedure can have serious or even _____ complications. -
Answer- lethal
14% Risks, complications, and legal limitations:
The patient may have a _______ to the local anesthetic and go into ________. - Answer- toxic reaction
anaphylactic shock
14% Risks, complications, and legal limitations:
Unexpected operative and postoperative ______ may occur. - Answer- Bleeding
14% Risks, complications, and legal limitations:
DC's cannot remove ______ therefore they must be able to recognize what the lesion is. - Answer-
malignancies
,14% Risks, complications, and legal limitations:
Vast majority of cases seen by a chiropractor are ______. These include: __________. - Answer- routine
physical examination, skin lesion biopsy, hemorrhoids (non painful or bleeding), backache, nausea
without vomiting, and constipation.
Where does the rectum begin and end? - Answer- Begins at S3 and ends at upper aspect of pelvic
diaphragm
How long is the rectum? - Answer- 12-15 cm
What is the terminal portion of the intestinal tract? - Answer- Anal canal
Where does the anal canal begin and end? - Answer- Begins at anorectal junction, ends at anal verge
How long is the anal canal? - Answer- 3-4 cm
What are the anal canal muscles? - Answer- Two tubes surrounding the other, inner tube and outer tube
The inner tube of the anal canal muscles is: - Answer- visceral and autonomically innervated
The outer tube of the anal canal muscles is: - Answer- skeletal muscle and has some somatic innervation
Where is the dentate line located? - Answer- Middle of anal canal, 2 cm from the anal verge
Where are anal crypts formed? - Answer- Lower end of columns of Morgagni
14% Risks, complications, and legal limitations:
The best candidates for minor surgery are ages ______. - Answer- 15 to 65
,14% Risks, complications, and legal limitations:
___________ are short, heavy, large boned, lethargic and frequently with elevated blood pressure, are
slower to heal and offer a greater risk factor. - Answer- Endomorph
14% Risks, complications, and legal limitations:
Recreational drug usage that should be asked about include ______. - Answer- cocaine
valium (anxiety med)
prozac (SSRI)
amphetamine (stimulant)
barbiturate (sedative)
14% Risks, complications, and legal limitations:
Common local anesthetic injection used in dental offices is ______ - Answer- novocaine
14% Risks, complications, and legal limitations:
Heavy ingestions of ASPIRIN have a direct impact on minor surgery procedures. They will ________ by
_______. - Answer- increase the bleeding
prolonging the clotting time
14% Risks, complications, and legal limitations:
_____ lower blood pressure. Most commonly these medications are Dyazid and Lasix. - Answer-
Diuretics
14% Risks, complications, and legal limitations:
, _______ are a VERY HIGH risk. Their healing time is greatly increased and they are poor healers and are
prone to secondary infections far more than the average patient. - Answer- Diabetics
14% Risks, complications, and legal limitations:
Patients with known blood dycrasias are HIGH RISK candidates. Some examples include: - Answer-
Hemophilia (no clotting factors)
Leukemia
Simple anemia
What may anal crypts be lodged with? - Answer- Foreign matter which results in abscesses
Tissue of the upper anal canal is lined by: - Answer- columner epithelium
The rectum is completely collapsed and represents an _____. - Answer- Antero-posterior tilt
The rectum is central to the mechanism of _____ and is prone to many _____. - Answer- Continence;
diseases
What is the anal canal composed of? - Answer- 2 sphincters with skeletal and smooth muscle
How long is the anal canal? - Answer- 3-4 cm
14% Risks, complications, and legal limitations:
Patients take Coumadin or Heparin as a blood thinner which will increase bleeding because the clotting
ability is compromised. HIGH RISK. Patients who take these mediations have _________, ______,
________. - Answer- Stroke, Arterial prosthesis, thrombophlebitis
14% Risks, complications, and legal limitations:
Oregon Board Exam Graded A+ 2025
14% Risks, complications, and legal limitations:
All chiropractic students graduating after April 18, _____ who wish to sit for the Oregon Board must
have _____ hours of lecture AND ____ hours of lab on their transcripts. - Answer- 1998
24
12
14% Risks, complications, and legal limitations:
______ is the number one complication of minor surgery! - Answer- Anxiety
14% Risks, complications, and legal limitations:
If not managed properly, even the simplest procedure can have serious or even _____ complications. -
Answer- lethal
14% Risks, complications, and legal limitations:
The patient may have a _______ to the local anesthetic and go into ________. - Answer- toxic reaction
anaphylactic shock
14% Risks, complications, and legal limitations:
Unexpected operative and postoperative ______ may occur. - Answer- Bleeding
14% Risks, complications, and legal limitations:
DC's cannot remove ______ therefore they must be able to recognize what the lesion is. - Answer-
malignancies
,14% Risks, complications, and legal limitations:
Vast majority of cases seen by a chiropractor are ______. These include: __________. - Answer- routine
physical examination, skin lesion biopsy, hemorrhoids (non painful or bleeding), backache, nausea
without vomiting, and constipation.
Where does the rectum begin and end? - Answer- Begins at S3 and ends at upper aspect of pelvic
diaphragm
How long is the rectum? - Answer- 12-15 cm
What is the terminal portion of the intestinal tract? - Answer- Anal canal
Where does the anal canal begin and end? - Answer- Begins at anorectal junction, ends at anal verge
How long is the anal canal? - Answer- 3-4 cm
What are the anal canal muscles? - Answer- Two tubes surrounding the other, inner tube and outer tube
The inner tube of the anal canal muscles is: - Answer- visceral and autonomically innervated
The outer tube of the anal canal muscles is: - Answer- skeletal muscle and has some somatic innervation
Where is the dentate line located? - Answer- Middle of anal canal, 2 cm from the anal verge
Where are anal crypts formed? - Answer- Lower end of columns of Morgagni
14% Risks, complications, and legal limitations:
The best candidates for minor surgery are ages ______. - Answer- 15 to 65
,14% Risks, complications, and legal limitations:
___________ are short, heavy, large boned, lethargic and frequently with elevated blood pressure, are
slower to heal and offer a greater risk factor. - Answer- Endomorph
14% Risks, complications, and legal limitations:
Recreational drug usage that should be asked about include ______. - Answer- cocaine
valium (anxiety med)
prozac (SSRI)
amphetamine (stimulant)
barbiturate (sedative)
14% Risks, complications, and legal limitations:
Common local anesthetic injection used in dental offices is ______ - Answer- novocaine
14% Risks, complications, and legal limitations:
Heavy ingestions of ASPIRIN have a direct impact on minor surgery procedures. They will ________ by
_______. - Answer- increase the bleeding
prolonging the clotting time
14% Risks, complications, and legal limitations:
_____ lower blood pressure. Most commonly these medications are Dyazid and Lasix. - Answer-
Diuretics
14% Risks, complications, and legal limitations:
, _______ are a VERY HIGH risk. Their healing time is greatly increased and they are poor healers and are
prone to secondary infections far more than the average patient. - Answer- Diabetics
14% Risks, complications, and legal limitations:
Patients with known blood dycrasias are HIGH RISK candidates. Some examples include: - Answer-
Hemophilia (no clotting factors)
Leukemia
Simple anemia
What may anal crypts be lodged with? - Answer- Foreign matter which results in abscesses
Tissue of the upper anal canal is lined by: - Answer- columner epithelium
The rectum is completely collapsed and represents an _____. - Answer- Antero-posterior tilt
The rectum is central to the mechanism of _____ and is prone to many _____. - Answer- Continence;
diseases
What is the anal canal composed of? - Answer- 2 sphincters with skeletal and smooth muscle
How long is the anal canal? - Answer- 3-4 cm
14% Risks, complications, and legal limitations:
Patients take Coumadin or Heparin as a blood thinner which will increase bleeding because the clotting
ability is compromised. HIGH RISK. Patients who take these mediations have _________, ______,
________. - Answer- Stroke, Arterial prosthesis, thrombophlebitis
14% Risks, complications, and legal limitations:
