Podcast
Questions and Answers
Which of the following is NOT a common indication for a rectal examination?
Which of the following is NOT a common indication for a rectal examination?
What is the length of the anal canal from the anorectal junction to the anal verge?
What is the length of the anal canal from the anorectal junction to the anal verge?
What is the absolute contraindication for a digital rectal examination?
What is the absolute contraindication for a digital rectal examination?
In men, what is one of the primary reasons for performing a digital rectal examination?
In men, what is one of the primary reasons for performing a digital rectal examination?
Signup and view all the answers
What is an example of a relative contraindication for a digital rectal examination?
What is an example of a relative contraindication for a digital rectal examination?
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?
What is the significance of routine digital rectal examination according to the article by Manimaran N and Galland RB?
Signup and view all the answers
During rectal examination, how far should the digit be inserted into the rectum?
During rectal examination, how far should the digit be inserted into the rectum?
Signup and view all the answers
Which artery supplies the rectum and anal canal?
Which artery supplies the rectum and anal canal?
Signup and view all the answers
What is the typical location of an anal fissure in the perianal region?
What is the typical location of an anal fissure in the perianal region?
Signup and view all the answers
What position can be chosen for perianal inspection during a digital rectal examination?
What position can be chosen for perianal inspection during a digital rectal examination?
Signup and view all the answers
When assessing stool color, what does black and tarry stool indicate?
When assessing stool color, what does black and tarry stool indicate?
Signup and view all the answers
What does the Bristol Stool Scale (BSS) characterize?
What does the Bristol Stool Scale (BSS) characterize?
Signup and view all the answers
What should be performed if there is no gross blood after a rectal examination?
What should be performed if there is no gross blood after a rectal examination?
Signup and view all the answers
Where are the columns of Morgani located?
Where are the columns of Morgani located?
Signup and view all the answers
What does a pale and greasy stool suggest?
What does a pale and greasy stool suggest?
Signup and view all the answers
What should be performed if there is gross blood after withdrawing your finger during a rectal examination?
What should be performed if there is gross blood after withdrawing your finger during a rectal examination?
Signup and view all the answers
What should be done to prompt a Valsalva maneuver during perianal inspection?
What should be done to prompt a Valsalva maneuver during perianal inspection?
Signup and view all the answers
What is the approximate length of the anal canal in adults?
What is the approximate length of the anal canal in adults?
Signup and view all the answers
Which anatomical structure demarcates the rectosigmoid junction?
Which anatomical structure demarcates the rectosigmoid junction?
Signup and view all the answers
What is the main responsibility of the internal anal sphincter?
What is the main responsibility of the internal anal sphincter?
Signup and view all the answers
What is the purpose of using a topical anesthetic during digital rectal examination?
What is the purpose of using a topical anesthetic during digital rectal examination?
Signup and view all the answers
When is anoscopy indicated?
When is anoscopy indicated?
Signup and view all the answers
What equipment is needed to perform anoscopy?
What equipment is needed to perform anoscopy?
Signup and view all the answers
What is the main responsibility of the external anal sphincter?
What is the main responsibility of the external anal sphincter?
Signup and view all the answers
What position can be used for digital rectal examination and anoscopy?
What position can be used for digital rectal examination and anoscopy?
Signup and view all the answers
What anatomical structures differ in females and males anterior to the rectum?
What anatomical structures differ in females and males anterior to the rectum?
Signup and view all the answers
What demarcates the anorectal junction?
What demarcates the anorectal junction?
Signup and view all the answers
What is indicated in patients who present with perianal pruritus?
What is indicated in patients who present with perianal pruritus?
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?
What is the purpose of using two gloves on the dominant hand and one glove on the nondominant hand before beginning the examination?
Signup and view all the answers
When is a digital rectal examination not needed in a patient with severe anal pain?
When is a digital rectal examination not needed in a patient with severe anal pain?
Signup and view all the answers
What is the purpose of asking the patient to bear down during the digital rectal examination?
What is the purpose of asking the patient to bear down during the digital rectal examination?
Signup and view all the answers
What is the recommended external diameter of an anoscope for most adults?
What is the recommended external diameter of an anoscope for most adults?
Signup and view all the answers
When inserting the anoscope, what maneuver may make the insertion easier for the patient?
When inserting the anoscope, what maneuver may make the insertion easier for the patient?
Signup and view all the answers
What should be done if any fecal matter is observed during anoscopy?
What should be done if any fecal matter is observed during anoscopy?
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?
What is recommended to prevent complications such as patient discomfort and perianal abrasions during digital rectal examination and anoscopy?
Signup and view all the answers
What should be documented when identifying lesions observed during the physical examination?
What should be documented when identifying lesions observed during the physical examination?
Signup and view all the answers
What should be done if a local anesthetic is not sufficient to alleviate patient discomfort during examination?
What should be done if a local anesthetic is not sufficient to alleviate patient discomfort during examination?
Signup and view all the answers
What should be noted after fully withdrawing the anoscope from the patient's anal canal?
What should be noted after fully withdrawing the anoscope from the patient's anal canal?
Signup and view all the answers
What is used to remove any fecal matter observed during anoscopy?
What is used to remove any fecal matter observed during anoscopy?
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?
Which maneuver may help visualize prolapsing hemorrhoids or mucosa in patients whose symptoms suggest prolapse during digital rectal examination?
Signup and view all the answers