5th ASSESSMENT

Question 1

What is the most important requirement before a digital rectal exam can be done?

Answer 1

Informed consent

Question 2

A 60 year old patient w/ loose bowel movement associated w/ mucus & crampy abdominal pain w/out bloating & feeling of incomplete evacuation despite repeated bout of visits to the comfort room is most likely suggestive of?

Answer 2

Intestinal amebiasis

Question 3

Low back pain in 20 year old h&some & game medical student accompanied by fever & chills & milky urethral tip discharge is most likely suggestive of…

Answer 3

Acute urethritis from over indulgence (Chlamydia)

Question 4

Intra-luminal mass which grows in size will most likely present w/?

Answer 4

Obstruction

Question 5

What is the most common symptom of an enlarged prostate?

Answer 5

Feeling of incomplete emptying

Question 6

A 30 year old seaman came to you for underwear soiling w/ bright red blood anal discharge. No pruritus, not associated w/ vomiting nor tenesmus no weight loss. He is most likely suffering from?

Answer 6

Internal hemorrhoids

Question 7

T/F
Like in the large bowel, the usual rule apply to the rectum: “Complete bowel obstruction in the elderly shall be considered cancer unless proven otherwise.”

Answer 7

TRUE

Question 8

A 70 year old male complaining w/ difficulty of initiation of urination & feeling incomplete emptying of the bladder despite repeated visits to the comfort room wuould most likely suggest?

Answer 8

Benign Prostatic hyperthropy

Question 9

LBM can be due to any of the ff except

Answer 9

No exception

Question 10

What is the important anatomic landmark to determine when one is still in the rectum or has gone beyond & is already in the sigmoid?

Answer 10

Peritoneal reflection

Question 11

A 30 year old seaman came to you for anal pruritis & an apparent tender fleshy mass at the anus not associated w/ blood streak stools nor weight loss. Denies of any family history of large bowel cancer. Your mostly likely disease in question is?

Answer 11

Anal fissure

Question 12

A 60 year old male patient w/ weight loss & orthostatis hypotension came in w/ complaints of chocolate brown fecal matter. This is technically describe as?

Answer 12

Melena

Question 13

What is the most common presentation of Gonococcal or Chlamydial STI of the male patient?

Answer 13

Pus described as milky discharge from the tip of the urethral meatus

Question 14

The present of fresh blood in the fecal matter is technically described as?

Answer 14

hematochezia

Question 15

Rectal procidentia is common due to?

Answer 15

elderly patients who have chronic constipation

Question 16

What is the most common sign of prostatitis?

• Pus described as milky discharge from the tip of the urethral meatus
• Dull sensation of pain on upper medial aspect the thigh
• Tenderness on the anterior wall on digital rectal exam
• Blood in urine

Answer 16

Tenderness on the anterior wall on digital rectal exam

Question 17

A diabetic patient w/ fever & chills, pain in the pri-anal area w/ 4x4m mass which is warm to touch, tender & w/out obvious puncta, red in color & causes the patient to sit diagonally is most likely to be suffering from?

Answer 17

Peri-anal abscess

Question 18

Low back pain in a 70 year old male coupled w/ difficulty of initiation in urination NOT associated w/ bloody urine nor ejaculate is most likely due to?

Answer 18

Prostatic Cancer