General Surgery Lecture on Benign Ano-Rectal Conditions
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Questions and Answers

What is the name of the muscular junction between the rectum and anal canal that can be felt with the finger?

  • Pelvic diaphragm
  • Anal verge
  • Anorectal ring (correct)
  • Anal sphincter

What is the anatomical landmark that separates the columnar epithelium and autonomic nerves (above) from the squamous epithelium and spinal nerves (below)?

  • Anorectal ring
  • Dentate line (correct)
  • Anal verge
  • Anal canal

Which muscle is a continuation of the circular muscle coat of the rectum and is an involuntary muscle?

  • Pelvic diaphragm
  • Internal sphincter (correct)
  • External sphincter
  • Longitudinal muscle coat

What is the venous drainage system above the dentate line?

<p>Portal venous system (A)</p> Signup and view all the answers

What is the venous drainage system below the dentate line?

<p>Systemic venous system (D)</p> Signup and view all the answers

What type of muscle is the external sphincter composed of?

<p>Voluntary (somatic) muscle (A)</p> Signup and view all the answers

What is the typical location of engorged veins in patients with hemorrhoids?

<p>3, 7, 11 o'clock positions (C)</p> Signup and view all the answers

What is the characteristic of 1st degree hemorrhoids?

<p>They bleed but do not prolapse through the anus (B)</p> Signup and view all the answers

Which of the following is a recommended treatment for 2nd degree hemorrhoids?

<p>Rubber band ligation, photocoagulation, or hemorrhoidectomy (A)</p> Signup and view all the answers

What is the typical location of an anal fissure?

<p>Primarily in the posterior midline, with 10% in the anterior midline (D)</p> Signup and view all the answers

What is the key distinguishing feature of 4th degree hemorrhoids?

<p>They are permanently prolapsed and cannot be manually reduced (D)</p> Signup and view all the answers

What is a potential cause of an anal fissure that is not located at the midline?

<p>Inflammatory bowel disease (IBD) (C)</p> Signup and view all the answers

Which of the following arteries supply the anal canal?

<p>Superior, middle, and inferior hemorrhoidal arteries (C)</p> Signup and view all the answers

Where do the superior and middle hemorrhoidal veins drain?

<p>Into the portal system via the inferior mesenteric vein (A)</p> Signup and view all the answers

What is the distinction between internal and external hemorrhoids?

<p>Internal hemorrhoids are above the dentate line and part of the portal circulation, while external hemorrhoids are below the dentate line and part of the systemic circulation (D)</p> Signup and view all the answers

Which of the following is NOT a risk factor for hemorrhoids?

<p>Hypotension (D)</p> Signup and view all the answers

What is a common clinical feature of internal hemorrhoids?

<p>Painless rectal bleeding (C)</p> Signup and view all the answers

Where does the lymph from the lower half of the anal canal drain?

<p>Into the superficial and deep inguinal lymph nodes on each side (B)</p> Signup and view all the answers

What is the purpose of topical nitroglycerine in the treatment of anorectal conditions?

<p>To promote healing by increasing local blood flow (A)</p> Signup and view all the answers

What is the objective of surgery in treating anorectal conditions?

<p>To relieve sphincter spasm and increase blood flow (A)</p> Signup and view all the answers

Which bacterium is commonly involved in causing anorectal abscesses?

<p>E. coli (C)</p> Signup and view all the answers

What is the treatment for an anorectal abscess?

<p>Incision and drainage (B)</p> Signup and view all the answers

What is the etiology of a fistula-in-ano?

<p>Various causes including perirectal abscesses and iatrogenic factors (C)</p> Signup and view all the answers

According to Goodsall's Rule, where is the internal opening of a fistula likely to be if the external opening is at 11 o'clock position?

<p>2 o'clock (C)</p> Signup and view all the answers

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