anal- rectum

Question 1

Degree of hemorrhoids that can be treated with rubberband ligation and photocoagulation

Answer 1

2nd and 3rd degree

Question 2

Hemorrhoids degree:

bleed but do not prolapse through the anus

Answer 2

1st degree
treatment: high fbre/bulk diet, sitz baths, steroid cream (short course), pramoxine
(Anusol®), phlebotonics, rubber band ligation, sclerotherapy, and photocoagulation

Question 3

Hemorrhoids degree:

bleed, prolapse, and require manual reduction

Answer 3

3rd degree
treatment: same as 2nd degree, but may require closed hemorrhoidectomy

Question 4

hemorrhoid degree and management

bleed, permanently prolapsed, and cannot be manually reduced

Answer 4

4th degree
closed hemorrhoidectomy

Question 5

surgical decompression is considered for thrombosed hemorrhoids for how many hours

Answer 5

48 hrs

Question 6

Godsalls rule is applied to what disease?

Answer 6

Fistula in ano

Question 7

Godsalls rule

Answer 7

anterior - straight course anteriorly
posterior - begin at midline and will have curvature

Question 8

managment fistula in ano that is high lying and involves external sphincter

Answer 8

staged fstulotomy with Seton

Question 9

MGT: low lying fstula (does not involve external sphincter)

Answer 9

primary fstulotomy

Question 10

MNGT: access fstula between sphincter muscles

Answer 10

■ ligation of intersphincteric fstula tract (LIFT)

Question 11

chronic fissure triad

Answer 11

fssure, sentinel skin tags, and hypertrophied papillae

Question 12

MNGT pharmacologic: Chronic fissure

Answer 12

topical nitroglycerin or calcium channel blocker (nifedipine or diltiazem), : botulinum toxin A

Question 13

Most effective MNGT: fissure

Answer 13

lateral internal anal sphincterotomy (most efective)