CSD 2C | Rectal Examination GI
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Questions and Answers

Which of the following is NOT a common indication for a rectal examination?

  • Perianal pruritus
  • Nausea and vomiting (correct)
  • Unexplained weight loss
  • Rectal bleeding

What is the length of the anal canal from the anorectal junction to the anal verge?

  • 10 - 15 cm
  • 3 - 5 cm (correct)
  • 5 - 8 cm
  • 1 - 3 cm

What is the absolute contraindication for a digital rectal examination?

  • Lack of consent (correct)
  • Anal strictures
  • Severe anal pain prompting anesthesia
  • Recent anal surgery

In men, what is one of the primary reasons for performing a digital rectal examination?

<p>To screen for suspected prostatic cancer (B)</p> Signup and view all the answers

What is an example of a relative contraindication for a digital rectal examination?

<p>Anorectal mass (A)</p> Signup and view all the answers

What is the significance of routine digital rectal examination according to the article by Manimaran N and Galland RB?

<p>Diagnosis of abdominal pain (D)</p> Signup and view all the answers

During rectal examination, how far should the digit be inserted into the rectum?

<p>Approximately 4 inches (A)</p> Signup and view all the answers

Which artery supplies the rectum and anal canal?

<p>Internal iliac artery (A)</p> Signup and view all the answers

What is the typical location of an anal fissure in the perianal region?

<p>Posterior midline (A)</p> Signup and view all the answers

What position can be chosen for perianal inspection during a digital rectal examination?

<p>Lithotomy position (C)</p> Signup and view all the answers

When assessing stool color, what does black and tarry stool indicate?

<p>Bleeding from upper gastrointestinal tract (C)</p> Signup and view all the answers

What does the Bristol Stool Scale (BSS) characterize?

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

What should be performed if there is no gross blood after a rectal examination?

<p>Perform a fecal occult blood test on the residual matter (A)</p> Signup and view all the answers

Where are the columns of Morgani located?

<p>Superior half of the rectum (D)</p> Signup and view all the answers

What does a pale and greasy stool suggest?

<p>Steatorrhea plus upper gastrointestinal bleeding (D)</p> Signup and view all the answers

What should be performed if there is gross blood after withdrawing your finger during a rectal examination?

<p>Perform a fecal occult blood test on the residual matter (A)</p> Signup and view all the answers

What should be done to prompt a Valsalva maneuver during perianal inspection?

<p>Instruct the patient to deeply inhale (C)</p> Signup and view all the answers

What is the approximate length of the anal canal in adults?

<p>3 to 5 cm (D)</p> Signup and view all the answers

Which anatomical structure demarcates the rectosigmoid junction?

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

What is the main responsibility of the internal anal sphincter?

<p>Provides continuous anal contraction for anal continence between bowel movements (B)</p> Signup and view all the answers

What is the purpose of using a topical anesthetic during digital rectal examination?

<p>In case the patient has local discomfort (C)</p> Signup and view all the answers

When is anoscopy indicated?

<p>When disease in the anal canal is suspected (D)</p> Signup and view all the answers

What equipment is needed to perform anoscopy?

<p>An anoscope, cotton swabs, tissue paper, and a dedicated light source (C)</p> Signup and view all the answers

What is the main responsibility of the external anal sphincter?

<p>Voluntary control for additional continence (B)</p> Signup and view all the answers

What position can be used for digital rectal examination and anoscopy?

<p>Standing, lithotomy, knee-to-chest, and prone positions (B)</p> Signup and view all the answers

What anatomical structures differ in females and males anterior to the rectum?

<p>Prostate and vagina (C)</p> Signup and view all the answers

What demarcates the anorectal junction?

<p>Puborectalis muscle ring (D)</p> Signup and view all the answers

What is indicated in patients who present with perianal pruritus?

<p>Digital rectal examination (C)</p> Signup and view all the answers

What is the purpose of using two gloves on the dominant hand and one glove on the nondominant hand before beginning the examination?

<p>To prevent contamination of both hands during the examination. (A)</p> Signup and view all the answers

When is a digital rectal examination not needed in a patient with severe anal pain?

<p>If a fissure or a thrombosed external hemorrhoid is clearly visualized. (C)</p> Signup and view all the answers

What is the purpose of asking the patient to bear down during the digital rectal examination?

<p>To relax the anal sphincter and increase patient comfort. (B)</p> Signup and view all the answers

What is the recommended external diameter of an anoscope for most adults?

<p>19 mm (A)</p> Signup and view all the answers

When inserting the anoscope, what maneuver may make the insertion easier for the patient?

<p>Asking the patient to take deep breaths and bear down. (B)</p> Signup and view all the answers

What should be done if any fecal matter is observed during anoscopy?

<p>Remove it with a large swab. (D)</p> Signup and view all the answers

What is recommended to prevent complications such as patient discomfort and perianal abrasions during digital rectal examination and anoscopy?

<p>Use lubricant generously. (A)</p> Signup and view all the answers

What should be documented when identifying lesions observed during the physical examination?

<p>Their anatomical location as anterior, posterior, left, or right. (C)</p> Signup and view all the answers

What should be done if a local anesthetic is not sufficient to alleviate patient discomfort during examination?

<p>Refer for examination under general anesthesia. (C)</p> Signup and view all the answers

What should be noted after fully withdrawing the anoscope from the patient's anal canal?

<p>The presence of any visible blood and fecal matter on the glove. (D)</p> Signup and view all the answers

What is used to remove any fecal matter observed during anoscopy?

<p>A large swab (C)</p> Signup and view all the answers

Which maneuver may help visualize prolapsing hemorrhoids or mucosa in patients whose symptoms suggest prolapse during digital rectal examination?

<p>Valsalva maneuver (B)</p> Signup and view all the answers

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