Question 1

When the practitioner is inquiring about the patient's lower GI tract history, the inquiry should include

Accepted Answer

A) bowel habits. 
B) dietary habits. 
C) hemorrhoid surgery. 
D) laxative use. 
E) recent travel. 
A) bowel habits. 
B) dietary habits. 
C) hemorrhoid surgery. 
D) laxative use. 
E) recent travel.

Question 2

Which of the following conditions is most commonly seen in adults with diabetes?

Accepted Answer

A) Pinworms 
B) Pilonidal cysts 
C) Perianal fistula 
D) Pruritus ani 
E) Anorectal fissure 
A) Pinworms 
B) Pilonidal cysts 
C) Perianal fistula 
D) Pruritus ani 
E) Anorectal fissure

Question 3

The urge to defecate is caused by

Accepted Answer

A) constriction of the internal sphincter. 
B) the rectum filling with feces. 
C) cognitive processes. 
D) fluid volume in the stomach. 
E) relaxation of the external sphincter. 
A) constriction of the internal sphincter. 
B) the rectum filling with feces. 
C) cognitive processes. 
D) fluid volume in the stomach. 
E) relaxation of the external sphincter.

Question 4

Caliber of urinary stream is routine information in the history of

Accepted Answer

A) adolescents. 
B) infants. 
C) older men. 
D) sexually active men. 
E) pregnant women. 
A) adolescents. 
B) infants. 
C) older men. 
D) sexually active men. 
E) pregnant women.

Question 5

The posterior surface of the prostate can be located by palpation of the

Accepted Answer

A) posterior wall of the rectum. 
B) anterior wall of the rectum. 
C) lateral wall of the anus. 
D) lower abdomen and perineum. 
E) anal canal and perineum. 
A) posterior wall of the rectum. 
B) anterior wall of the rectum. 
C) lateral wall of the anus. 
D) lower abdomen and perineum. 
E) anal canal and perineum.

Question 6

Which of the following is a risk factor for anal cancer?

Accepted Answer

A) White race 
B) Diet low in animal fats and proteins 
C) Physical inactivity 
D) Infection with high risk HPV 
E) Low body fat 
A) White race 
B) Diet low in animal fats and proteins 
C) Physical inactivity 
D) Infection with high risk HPV 
E) Low body fat

Question 7

The cervix may normally be palpated through the

Accepted Answer

A) anterior rectal wall. 
B) left lateral rectal wall. 
C) right lateral rectal wall. 
D) posterior uterine surface. 
E) posterior rectal wall. 
A) anterior rectal wall. 
B) left lateral rectal wall. 
C) right lateral rectal wall. 
D) posterior uterine surface. 
E) posterior rectal wall.

Question 8

Palpation of the anal ring is done by

Accepted Answer

A) bidigital palpation with thumbs. 
B) inserting the smallest finger into the anus. 
C) pressing a gauze pad over the anus. 
D) rotation of the forefinger inside the anus. 
E) rotation of the forefinger outside the anus. 
A) bidigital palpation with thumbs. 
B) inserting the smallest finger into the anus. 
C) pressing a gauze pad over the anus. 
D) rotation of the forefinger inside the anus. 
E) rotation of the forefinger outside the anus.

Question 9

Very light tan or gray stool may indicate

Accepted Answer

A) Hirschsprung disease. 
B) obstructive jaundice. 
C) lower gastrointestinal bleeding. 
D) polyposis. 
E) upper gastrointestinal bleeding. 
A) Hirschsprung disease. 
B) obstructive jaundice. 
C) lower gastrointestinal bleeding. 
D) polyposis. 
E) upper gastrointestinal bleeding.

Question 10

Baby Sue is born with an imperforate anus. However, her outward anal appearance is normal. When is it likely that her closed anal passageway will be suspected by her health care providers?

Accepted Answer

A) After she develops a scaphoid abdomen 
B) During her first feeding when she vomits 
C) When she bleeds from the rectum 
D) When she fails to pass meconium stool 
E) When the rectum prolapses 
A) After she develops a scaphoid abdomen 
B) During her first feeding when she vomits 
C) When she bleeds from the rectum 
D) When she fails to pass meconium stool 
E) When the rectum prolapses

Question 11

When performing a rectal examination in a man, in which position is the patient generally placed?

Accepted Answer

A) Lithotomy 
B) Prone 
C) Trendelenburg 
D) Left lateral 
E) Supine 
A) Lithotomy 
B) Prone 
C) Trendelenburg 
D) Left lateral 
E) Supine

Question 12

The prostatic sulcus

Accepted Answer

A) divides the prostate into anterior and posterior lobes. 
B) is the site of the seminal vesicle emergence. 
C) refers to the anterior aspect of the prostate. 
D) secretes clear viscous mucus. 
E) divides the prostate into right and left lateral lobes. 
A) divides the prostate into anterior and posterior lobes. 
B) is the site of the seminal vesicle emergence. 
C) refers to the anterior aspect of the prostate. 
D) secretes clear viscous mucus. 
E) divides the prostate into right and left lateral lobes.

Question 13

An infant with constipation and a consistently empty rectum may need evaluation for

Accepted Answer

A) sexual abuse. 
B) Hirschsprung disease. 
C) pilonidal cyst. 
D) intestinal parasites. 
E) rectal abscess. 
A) sexual abuse. 
B) Hirschsprung disease. 
C) pilonidal cyst. 
D) intestinal parasites. 
E) rectal abscess.

Question 14

Tarry black stool should make you suspect

Accepted Answer

A) internal hemorrhoids. 
B) rectal fistula. 
C) upper intestinal bleeding. 
D) prostatic cancer. 
E) lower intestinal bleeding. 
A) internal hemorrhoids. 
B) rectal fistula. 
C) upper intestinal bleeding. 
D) prostatic cancer. 
E) lower intestinal bleeding.

Question 15

Equipment for examination of the anus, rectum, and prostate routinely includes gloves and

Accepted Answer

A) an anoscope. 
B) lubricant and penlight. 
C) slides and normal saline. 
D) swabs and culture medium. 
E) a hand mirror and gauze. 
A) an anoscope. 
B) lubricant and penlight. 
C) slides and normal saline. 
D) swabs and culture medium. 
E) a hand mirror and gauze.

Exam 20: Anus, Rectum, and Prostate

When the practitioner is inquiring about the patient's lower GI tract history, the inquiry should include

Which of the following conditions is most commonly seen in adults with diabetes?

The urge to defecate is caused by

Caliber of urinary stream is routine information in the history of

The posterior surface of the prostate can be located by palpation of the

Which of the following is a risk factor for anal cancer?

The cervix may normally be palpated through the

Palpation of the anal ring is done by

Very light tan or gray stool may indicate

Baby Sue is born with an imperforate anus. However, her outward anal appearance is normal. When is it likely that her closed anal passageway will be suspected by her health care providers?

When performing a rectal examination in a man, in which position is the patient generally placed?

The prostatic sulcus

An infant with constipation and a consistently empty rectum may need evaluation for

Tarry black stool should make you suspect

Equipment for examination of the anus, rectum, and prostate routinely includes gloves and

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