Question 1

A common cause of dark green or black stool color during pregnancy is indicative of

Accepted Answer

A) consumption of iron preparations. 
B) consumption of vitamins. 
C) intestinal parasites. 
D) slow bleeding of hemorrhoids. 
E) slow intestinal bleeding. 
A) consumption of iron preparations. 
B) consumption of vitamins. 
C) intestinal parasites. 
D) slow bleeding of hemorrhoids. 
E) slow intestinal bleeding. A

Question 2

Perianal abscesses, fissures, or pilonidal cysts will cause the patient to experience

Accepted Answer

A) bulging and wrinkling. 
B) constipation and pallor. 
C) urinary symptoms. 
D) tenderness and inflammation. 
E) diarrhea and redness. 
A) bulging and wrinkling. 
B) constipation and pallor. 
C) urinary symptoms. 
D) tenderness and inflammation. 
E) diarrhea and redness. D

Question 3

The adult internal rectal sphincter is controlled by the

Accepted Answer

A) autonomic nervous system. 
B) central nervous system. 
C) peripheral nervous system. 
D) lumbar spinal reflexes. 
E) sacral spinal reflexes. 
A) autonomic nervous system. 
B) central nervous system. 
C) peripheral nervous system. 
D) lumbar spinal reflexes. 
E) sacral spinal reflexes. A

Question 4

Your patient's chief complaint is repeated pencil-like stools. Further examination should include

Accepted Answer

A) stool culture. 
B) parasite testing. 
C) digital rectal examination (DR
E) . 
D) prostate examination. 
E) cellulose tape test. 
A) stool culture. 
B) parasite testing. 
C) digital rectal examination (DR
E) . 
D) prostate examination. 
E) cellulose tape test.

Question 5

The initial digital approach to the rectal examination should be

Accepted Answer

A) at a right angle to the anus. 
B) with direct horizontal pressure of fingertip. 
C) with the finger pad pressed against anal verge. 
D) during sphincter tightening. 
E) bidigital palpation with thumbs. 
A) at a right angle to the anus. 
B) with direct horizontal pressure of fingertip. 
C) with the finger pad pressed against anal verge. 
D) during sphincter tightening. 
E) bidigital palpation with thumbs.

Question 6

The effects of aging on the gastrointestinal system lead to more frequent experiences of

Accepted Answer

A) constipation. 
B) prolonged satiety. 
C) diarrhea. 
D) prostate glandular atrophy. 
E) urges to defecate. 
A) constipation. 
B) prolonged satiety. 
C) diarrhea. 
D) prostate glandular atrophy. 
E) urges to defecate.

Question 7

A lower spinal cord lesion may be indicated by which finding?

Accepted Answer

A) Lack of an "anal wink" 
B) Anorectal fissure 
C) Anal fistula 
D) Passage of meconium 
E) Small flaps of anal skin 
A) Lack of an "anal wink" 
B) Anorectal fissure 
C) Anal fistula 
D) Passage of meconium 
E) Small flaps of anal skin

Question 8

Cellulose tape test is used for the detection of

Accepted Answer

A) imperforate anus. 
B) condyloma. 
C) anal fissure. 
D) steatorrhea. 
E) enterobiasis. 
A) imperforate anus. 
B) condyloma. 
C) anal fissure. 
D) steatorrhea. 
E) enterobiasis.

Question 9

Palpation of a normal prostate in an older adult is likely to feel

Accepted Answer

A) cool. 
B) grainy. 
C) polypoid. 
D) rubbery. 
E) hard. 
A) cool. 
B) grainy. 
C) polypoid. 
D) rubbery. 
E) hard.

Question 10

A healthy prostate protrudes into the rectal wall a distance of _____ cm.

Accepted Answer

A) less than 1 
B) 1 to 2 
C) 2 to 3 
D) 3 to 4 
E) more than 4 
A) less than 1 
B) 1 to 2 
C) 2 to 3 
D) 3 to 4 
E) more than 4

Question 11

Thrombosed hemorrhoids are

Accepted Answer

A) flabby skin sacs. 
B) red, inflamed, and painful. 
C) fluctuant soft papules. 
D) blue, shiny painful masses. 
E) pink to whitish. 
A) flabby skin sacs. 
B) red, inflamed, and painful. 
C) fluctuant soft papules. 
D) blue, shiny painful masses. 
E) pink to whitish.

Question 12

Pinworms and Candida may both cause

Accepted Answer

A) shrunken buttocks. 
B) hemorrhoids. 
C) perirectal irritation. 
D) perirectal protrusion. 
E) constipation. 
A) shrunken buttocks. 
B) hemorrhoids. 
C) perirectal irritation. 
D) perirectal protrusion. 
E) constipation.

Question 13

To make visualization of polyps in the anorectal area easier, you should

Accepted Answer

A) apply clear jelly around the anal orifice. 
B) ask the patient to bear down. 
C) ask the patient to relax the sphincter. 
D) rotate your finger inside the anal canal. 
E) have the patient contract the external sphincter. 
A) apply clear jelly around the anal orifice. 
B) ask the patient to bear down. 
C) ask the patient to relax the sphincter. 
D) rotate your finger inside the anal canal. 
E) have the patient contract the external sphincter.

Question 14

Prostate examination findings of a hard, irregular, painless nodule with obliteration of the median sulcus are signs of

Accepted Answer

A) benign prostatic hypertrophy. 
B) cancer of the prostate. 
C) longstanding prostatitis. 
D) swelling caused by aging. 
E) acute prostatitis. 
A) benign prostatic hypertrophy. 
B) cancer of the prostate. 
C) longstanding prostatitis. 
D) swelling caused by aging. 
E) acute prostatitis.

Question 15

The mother of a 1-week-old breastfed baby tells you that she is concerned because her baby has a small bowel movement each time he feeds. You should let the mother know that

Accepted Answer

A) this is normal. 
B) she should feed the baby less. 
C) this usually indicates a congenital abnormality. 
D) she needs to change the baby to formula. 
E) the baby's internal sphincter is underdeveloped. 
A) this is normal. 
B) she should feed the baby less. 
C) this usually indicates a congenital abnormality. 
D) she needs to change the baby to formula. 
E) the baby's internal sphincter is underdeveloped.

Question 16

The proximal end of the rectum is continuous with the

Accepted Answer

A) transverse colon. 
B) duodenum. 
C) ileum. 
D) internal rectal sphincter. 
E) sigmoid colon. 
A) transverse colon. 
B) duodenum. 
C) ileum. 
D) internal rectal sphincter. 
E) sigmoid colon.

Question 17

Factors associated with increased risk of prostate cancer include

Accepted Answer

A) African American descent. 
B) cigarette smoking. 
C) low-fat diet. 
D) alcoholism. 
E) obesity. 
A) African American descent. 
B) cigarette smoking. 
C) low-fat diet. 
D) alcoholism. 
E) obesity.

Question 18

An expected anal or rectal finding late in pregnancy is the presence of

Accepted Answer

A) cysts. 
B) rectal prolapse. 
C) skin tags. 
D) polyps. 
E) hemorrhoids. 
A) cysts. 
B) rectal prolapse. 
C) skin tags. 
D) polyps. 
E) hemorrhoids.

Question 19

Prostate-specific antigen (PSA) screening is controversial because

Accepted Answer

A) there are few false-negative results. 
B) PSA is produced by many other tissues. 
C) it is less sensitive than digital rectal examination. 
D) there are associated harms of false-positive test results. 
E) it detects prostate cancer only in its late stage. 
A) there are few false-negative results. 
B) PSA is produced by many other tissues. 
C) it is less sensitive than digital rectal examination. 
D) there are associated harms of false-positive test results. 
E) it detects prostate cancer only in its late stage.

Question 20

In males, which surface of the prostate gland is accessible by digital examination?

Accepted Answer

A) Median lobe 
B) Posterior 
C) Superior 
D) Anterior 
E) Lateral 
A) Median lobe 
B) Posterior 
C) Superior 
D) Anterior 
E) Lateral

Exam 20: Anus, Rectum, and Prostate

A common cause of dark green or black stool color during pregnancy is indicative of

Perianal abscesses, fissures, or pilonidal cysts will cause the patient to experience

The adult internal rectal sphincter is controlled by the

Your patient's chief complaint is repeated pencil-like stools. Further examination should include

The initial digital approach to the rectal examination should be

The effects of aging on the gastrointestinal system lead to more frequent experiences of

A lower spinal cord lesion may be indicated by which finding?

Cellulose tape test is used for the detection of

Palpation of a normal prostate in an older adult is likely to feel

A healthy prostate protrudes into the rectal wall a distance of _____ cm.

Thrombosed hemorrhoids are

Pinworms and Candida may both cause

To make visualization of polyps in the anorectal area easier, you should

Prostate examination findings of a hard, irregular, painless nodule with obliteration of the median sulcus are signs of

The mother of a 1-week-old breastfed baby tells you that she is concerned because her baby has a small bowel movement each time he feeds. You should let the mother know that

The proximal end of the rectum is continuous with the

Factors associated with increased risk of prostate cancer include

An expected anal or rectal finding late in pregnancy is the presence of

Prostate-specific antigen (PSA) screening is controversial because

In males, which surface of the prostate gland is accessible by digital examination?

The History and Interviewing Process

Cultural Competency

Examination Techniques and Equipment

Vital Signs and Pain Assessment

Mental Status

Growth and Measurement

Nutrition

Skin, Hair, and Nails

Lymphatic System

Head and Neck

Eyes

Ears, Nose, and Throat

Chest and Lungs

Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting It All Together

Taking the Next Steps: Critical Thinking

Recording Information

Emergency or Life-Threatening Situations

Filters