Colorectal Disorders & Hernias Past Paper PDF

Worksheets Name Colorectal Disorders and Hernias; Colorectal Cancer Class Total questions: 2...

Worksheets Name Colorectal Disorders and Hernias; Colorectal Cancer Class Total questions: 20 Worksheet time: 10mins Date Instructor name: Mr. hkvxdgsnsg apple_user 1. Which of the following is the most appropriate first-line treatment for constipation? a) Serotonin 5-HT agonists b) Osmotic laxatives (e.g., PEG) c) Increase dietary fiber and water intake d) Stimulant laxatives (e.g., bisacodyl) 2. What clinical feature distinguishes a strangulated hernia from an incarcerated hernia? a) Visible protrusion of bowel b) Palpable mass in the groin c) Inability to reduce the hernia d) Severe pain and systemic toxicity 3. What is the most common location for diverticulosis? a) Sigmoid colon b) Transverse colon c) Descending colon d) Ascending colon 4. What is the primary diagnostic test for diverticulitis? a) MRI b) CT scan of the abdomen and pelvis c) Colonoscopy d) Abdominal ultrasound 5. Which grade of internal hemorrhoid prolapses but reduces spontaneously? a) Grade I b) Grade II c) Grade IV d) Grade III https://quizizz.com/print/quiz/673e84c6455a217859bd2040 11/22/24, 1 55 AM Page 1 of 5 :  6. What is the most common initial treatment for anal fissures? a) Fiber supplements and sitz baths b) Surgical sphincterotomy c) Botox injections d) Topical nitroglycerin 7. What is the primary risk factor for perirectal abscess? a) Anal crypt gland infection b) Rectal prolapse c) Anal intercourse d) Chronic constipation 8. Which diagnostic test is most sensitive for detecting colorectal cancer? a) Virtual colonoscopy b) Colonoscopy c) Guaiac fecal occult blood test d) Flexible sigmoidoscopy 9. Which of the following is characteristic of Lynch syndrome? a) APC gene mutation b) DNA mismatch repair defect c) Sporadic colorectal cancer d) Polyps in the colon 10. What is the most common complication of untreated diverticulitis? a) Stricture formation b) Fistula formation c) Peritonitis d) Rectal prolapse 11. Which of the following is a potential complication of chronic constipation? a) All of the above b) Rectal prolapse c) Hemorrhoids d) Colonic perforation 12. What is the most appropriate management for a thrombosed external hemorrhoid? a) Topical corticosteroids b) Sitz baths only c) Rubber band ligation d) Elliptical excision and clot evacuation https://quizizz.com/print/quiz/673e84c6455a217859bd2040 11/22/24, 1 55 AM Page 2 of 5 :  13. Which imaging modality is most sensitive for detecting liver metastases in colorectal cancer? a) CT scan with contrast b) Ultrasound c) PET scan d) MRI with gadolinium 14. Which type of hernia is more common in females than males? a) Umbilical hernia b) Femoral hernia c) Incisional hernia d) Inguinal hernia 15. What is the hallmark symptom of anal fissures? a) Purulent discharge b) Severe, tearing pain with defecation c) Anal itching d) Bleeding without pain 16. What grade of internal hemorrhoids requires manual reduction? a) Grade II b) Grade III c) Grade IV d) Grade I 17. Which of the following best describes familial adenomatous polyposis (FAP)? a) Caused by APC gene mutation b) Leads to sporadic colorectal cancer c) Associated with Lynch syndrome d) Polyps regress spontaneously 18. What is the initial diagnostic test of choice for a suspected perirectal abscess? a) Digital rectal exam b) MRI c) Anoscopy d) CT scan with contrast https://quizizz.com/print/quiz/673e84c6455a217859bd2040 11/22/24, 1 55 AM Page 3 of 5 :  19. What is the most common presenting symptom of colorectal cancer? a) Weight loss b) Change in bowel habits c) Abdominal pain d) Rectal bleeding 20. Which finding on colonoscopy is most characteristic of diverticulosis? a) Outpouchings of the colon wall b) Large ulcerations c) Sessile polyps d) Hemorrhagic areas Answer Keys 1. c) Increase dietary fiber and 2. d) Severe pain and systemic 3. a) Sigmoid colon water intake toxicity 4. b) CT scan of the abdomen and 5. b) Grade II 6. a) Fiber supplements and sitz pelvis baths 7. a) Anal crypt gland infection 8. b) Colonoscopy 9. b) DNA mismatch repair defect 10. c) Peritonitis 11. a) All of the above 12. d) Elliptical excision and clot evacuation 13. d) MRI with gadolinium 14. b) Femoral hernia 15. b) Severe, tearing pain with defecation 16. b) Grade III 17. a) Caused by APC gene 18. a) Digital rectal exam mutation 19. b) Change in bowel habits 20. a) Outpouchings of the colon wall https://quizizz.com/print/quiz/673e84c6455a217859bd2040 11/22/24, 1 55 AM Page 4 of 5 :  https://quizizz.com/print/quiz/673e84c6455a217859bd2040 11/22/24, 1 55 AM Page 5 of 5 :