Colorectal disorders (PEARLS) Smarty PANCE (Latest 2023 / 2024) Actual Questions and Answers 100% Correct

Colorectal disorders (PEARLS) Smarty PANCE (Latest 2023 / 2024) Actual Questions and Answers 100% Correct 1. A 45 year old female presents with painful defecation, pruritus of the anusand occasional blood.What is your diagnosis? Answer: Internal hemorrhoids 2. Significant *rectal pain, and pruritus but no bleeding*. Affects the lower 1/3of anus (below dentate line) Answer: External hemorrhoids 3. A 55-year-old patient with *rectal bleeding and tenesmus* (a feeling of incomplete emptying after a bowel movement).What must you consider? Answer: -Anorectal cancer Whenever rectal bleeding occurs, even in patients with obvious hemorrhoids orknown diverticular disease, coexisting cancer must be ruled out 4. *Tearing rectal pain and bleeding* which occurs with or shortly after defecation, bright red blood on toilet paper Answer: Anal fissure 5. What type of hemorrhoids are usually painless? Answer: Internal hemorrhoids 6. Treatment for fecal impaction? Answer: Digital rectal /manual disimpaction - Diet withfiber stool softeners/laxatives for prevention 7. What is the recommended treatment for a perianal cyst? Answer: Surgical drainage 8. Rectal massrectal bleeding and tenesmus? Answer: Rectal cancer (solitary tenesmusmay occur with anal inflammation) 9. The definition of constipation is less than how many bowel movements perweek? Answer: *less than 3* bowel movements per week 10. *LLQ pain*, tenderness, abdominal distention, *fever* and *leukocytosis*in older patients Answer: Diverticulitis