37 Anal and Rectal
25 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the arterial supply to the anus?

  • External hemorrhoid artery
  • Middle rectal artery
  • Superior rectal artery
  • Inferior rectal artery (correct)
  • Which plexus is responsible for the venous drainage above the dentate line?

  • Superior hemorrhoid plexus
  • Internal hemorrhoid plexus (correct)
  • Middle hemorrhoid plexus
  • External hemorrhoid plexus
  • What can cause pain in external hemorrhoids?

  • Bleeding
  • Straining (correct)
  • Itching
  • Prolapse
  • What type of innervation do internal hemorrhoids have?

    <p>Autonomic innervation</p> Signup and view all the answers

    What is the recommended treatment for thrombosed external hemorrhoids if the condition has persisted for more than 72 hours?

    <p>Lance open</p> Signup and view all the answers

    What is the surgical indication for resecting external hemorrhoids?

    <p>Large external component</p> Signup and view all the answers

    What is the most common symptom of anal melanoma?

    <p>Rectal bleeding</p> Signup and view all the answers

    Which anal cancer requires standard postoperative chemo/XRT similar to rectal cancer?

    <p>Adenocarcinoma</p> Signup and view all the answers

    What is the recommended treatment for pilonidal cysts?

    <p>Drainage and packing followed by surgical resection</p> Signup and view all the answers

    What is the most common cancer in patients with AIDS?

    <p>Kaposi's sarcoma</p> Signup and view all the answers

    Which type of anal incontinence has no good treatment?

    <p>Neurogenic incontinence</p> Signup and view all the answers

    What is the precursor for anal squamous cell carcinoma (SCCA)?

    <p>Anal intra-epithelial neoplasm (AIN) III</p> Signup and view all the answers

    Which type of cancer is associated with HPV, HIV, XRT, and immunosuppression?

    <p>Squamous cell carcinoma below the dentate line</p> Signup and view all the answers

    What is the most common site for melanoma?

    <p>Rectum</p> Signup and view all the answers

    What is the primary treatment for anal margin squamous cell carcinoma if it involves the sphincter or if there are positive nodes?

    <p>Chemotherapy only</p> Signup and view all the answers

    What is the primary drainage and packing followed by surgical resection recommended for?

    <p>Pilonidal cysts</p> Signup and view all the answers

    What should be considered for biopsy to rule out cancer and diagnose anal problems?

    <p>Inguinal nodes</p> Signup and view all the answers

    What is the surgical treatment for rectal prolapse in older and frail patients?

    <p>Transabdominal posterior suture rectopexy</p> Signup and view all the answers

    What is the primary medical treatment for anal fissure?

    <p>Bulk (psyllium)</p> Signup and view all the answers

    Which condition can be a contraindication to sphincterotomy for anal fissure?

    <p>Incontinence after botulinum injection</p> Signup and view all the answers

    What is the recommended surgical treatment for lateral or recurrent anal fissures?

    <p>Lateral subcutaneous internal sphincterotomy</p> Signup and view all the answers

    Which type of anorectal abscess may form a horseshoe abscess?

    <p>Intersphincteric abscess</p> Signup and view all the answers

    What percentage of patients with fistula-in-ano eventually develop a fistula-in-ano?

    <p>30%</p> Signup and view all the answers

    What is Goodsall's rule used for in the context of fistula-in-ano?

    <p>Identifying the type of fistula based on location</p> Signup and view all the answers

    What is the recommended treatment if less than 1/4 of the external anal sphincter is involved in a fistula-in-ano?

    <p>Fistulotomy</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Browser