The Anus and Anal Canal Multiple Choice Questions PDF
Document Details
Uploaded by BrightPetra
BV Praveen and Pradip K Datta
Tags
Summary
This document contains multiple-choice questions regarding the anus and anal canal, covering topics such as anatomy and physiology. The content also touches upon related aspects such as special investigations, and conditions associated with the ano-rectum.
Full Transcript
73 The anus and anal canal BV Praveen and Pradip K Datta Multiple choice questions ➜ Anatomy and physiology C Pelvic dyssynergia can be identified by 1. Which of the following statements are evacuatory proc...
73 The anus and anal canal BV Praveen and Pradip K Datta Multiple choice questions ➜ Anatomy and physiology C Pelvic dyssynergia can be identified by 1. Which of the following statements are evacuatory proctogram. true? D Megarectum might be a finding in rectal A The junction between the rectum and hyposensitivity. anal canal is the anorectal ring. E Perineal position and descent reflects B The puborectalis muscle is an important pelvic floor and pudendal nerve component of the continence function. mechanism. ➜ Imperforate anus C The external sphincter forms the bulk of 4. Which of the following statements are the anal sphincter complex. true? except D The longitudinal muscle is a direct A Imperforate anus are classified into high continuation of the smooth muscle of ❌ and low types. the outer muscle coat of the rectum. B Fistula with the urethra is uncommon. E The internal anal sphincter is the continuation of the circular muscle coat of the rectum. is a fistula into the vagina. most❌ C The most common abnormality in girls common defect in girls is a rectovestibular fistula D The finding of a single perineal orifice 2. The following statements are true suggests a persistent cloaca. except: E Meconium on the perineum indicates a A The dentate line (pectinate line) divides low defect. the anal canal into an upper two-thirds and lower one-third. ➜ Pilonidal sinus B The mucosa and submucosa above the 5. The following statements are true dentate line form anal cushions. except: C The anal glands drain into the anal A The condition always occurs in the natal sinuses and are the source of anal sepsis. cleft. men in their third decade. D The lymphatics from the anal canal drain B It is a disease of the elderly. into the inguinal group of lymph nodes. C The condition predominantly affects E The lower part of the anal canal is lined males. by stratified squamous epithelium. D Recurrent abscesses are common. E Treatment is always surgical excision. ➜ Special investigations Surgical excision of the track is not always necessary ➜ Anal incontinence on the ano-rectum 6. Which of the following statements are 3. Which of the following statements are true? all true true? except A Neurological pathways must be intact to A The resting tone is a reflection of maintain anal continence. internal sphincter activity. B Structural integrity of the gastrointestinal B A maximal anal pressure of 60 cm of tract and pelvic floor musculature is water is abnormal. essential to maintain continence. 692 C History and clinical examination might ➜ Anorectal abscesses 73: THE ANUS AND ANAL CANAL be enough to determine aetiology. 10. Which of the following statements D Surgical treatment is tailored to the cause. are true? except E A permanent stoma is a choice. A Anorectal abscesses might be a ➜ Anal fissure manifestation of a generalised disease. B Primary colorectal disease might be a 7. Which of the following statement(s) cause. except ﻣﻤﻜﻦ ﻳﺠﻲ is/are false? posterior midline at 6 o’clock position C The main cause is infection of the anal A Anal fissure occurs most commonly on glands. the anterior midline at 12 o’clock position. D Presentation is always as a very tender, B Acute anal fissure results from trauma indurated lump fluctuant lump in the perianal region. from the passage of a hard stool. E Immediate fistulotomy should be not C A fissure at an unusual site might have performed if a fistula is present. an underlying cause. Conservative D Operation is the treatment of choice. ➜ Fistula-in-ano Lateral anal E Anal dilatation should be tried as the 11. The following statements are true sphincterotomy or first surgical procedure. anal advancement flap except: ❌ ➜ Haemorrhoids A There is always an underlying associated specific cause. 8. Which of the following statements are B The most common cause is persistent true? all true false أوexcept ﻳﻐﻴﺮ وﺣﺪة وﻳﺨﻠﻲ infection of the anal glands. A Haemorrhoids are symptomatic anal cushions. B Traditionally, four degrees are cases. ❌ C MRI is an essential investigation in all D Classification is into high and low-anal recognised. fistula. C Conservative treatment should be the E The majority can be treated by first line of management. fistulotomy. D Urgent surgery is justified in certain complications. 12. Which of the following statements E Operation when indicated is usually are true? except A MRI and EUS should be undertaken not ❌ necessary carried out by the ‘open technique’. before surgery before surgical treatment. ➜ Pruritis ani B Fistulotomy is the treatment for 9. Which of the following statements are intersphincteric and trans-sphincteric not true? types. A Usually there is an underlying cause. C Setons are used in the treatment of high B Diabetes must be excluded. and complicated fistulae. C Treat the cause of pruritis ani. D Anal advancement flaps aims to Conservative D Surgical treatment is required in the preserve anatomy and function. majority. surgery not treatment E Biological agents have been used with E Hydrocortisone should be the first line variable results. of conservative treatment. Hydrocortisone ointment should not be used Extended matching questions ➜ Diagnoses 1 Anal fissure 2 Anal incontinence 3 Anal intraepithelial neoplasia (AIN) 693