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Mr. Mills, a 38-year-old patient, presents with severe rectal pain and fever. Which
condition might be the cause of the symptoms?
A. An imperforate anus
B. A perianal abscess
C. Benign prostatic hypertrophy
D. An anorectal fistula - ✅✅B: CorrectPerianal abscess is an infection of the soft
tissues surrounding the anal canal, with formation of a discrete abscess cavity.
Symptoms include tenderness, fever, and pain on defecation or with sitting or
walking.
"Boggy, enlarged, and tender" on rectal examination is descriptive of which
condition?
A. Prostatitis
B. Anorectal abscess
C. Prostatic carcinoma
,D. Rectal polyp - ✅✅A: CorrectSeminal vesicles are often involved in prostatitis
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
problem must be suspected?
A. Biliary atresia
B. Cystic fibrosis
C. Meckel diverticulum
D. Spinal bifida - ✅✅B: CorrectIf there is no passage of stool in 24 hours in a
newborn, suspect rectal atresia, Hirschsprung disease (congenital megacolon), or
cystic fibrosis.
Enlargement of the prostate may cause:
A. urinary retention.
B. a forceful urinary stream.
C. infertility.
D. prostate cancer. - ✅✅A: CorrectSymptoms 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.