Appendix Colon Rectum Anus

Question 1

Sausage like loop with birds beak deformity

Answer 1

Colonic volvulus

Question 2

Most common polyp

Answer 2

Hyperplastic polyp

Question 3

Kind of polyp with greatest risk for malignancy

Answer 3

Sessile

>2cm

Question 4

External anal sphincter is a continuation of what muscle?

Answer 4

Puborectalis

Question 5

Internal anal sphincter is a continuation of what muscle

Answer 5

Longitudinal smooth muscle

Question 6

Components of fascia propria

Answer 6

Waldeyer’s fascia (retrosacral)

Denonvillier’s fascia (anterior)

Question 7

Anatomic anal canal composed of:

Answer 7

Dentate line

Anal verge

Question 8

Surgical anal canal composed of:

Answer 8

Anorectal ring
Dentate line
Anal verge

Question 9

Samaged S2-S4 from an rectoanal surgery would result to?

Answer 9

Impotence

Question 10

Damage to hypogastric nerve would result to:

Answer 10

Retrograde ejaculation

Question 11

Use of wire to tighten anal sphincter:

Answer 11

THEIRSCH procedure

Question 12

Treatment for 1st and 2nd degree internal hemorrhoids

Answer 12

Medical: 40C warm sitz bath, stool softener, diet

Question 13

Treatment for 3rd and 4th degree internal hemorrhoids

Answer 13

Surgery

Question 14

Maneuver to dilate anal verge

Answer 14

Lord’s manuever

Question 15

Treatment for pseudomyxoma peritonei

Answer 15

Surgical debulking

Appendectomy omentectomy and TAHBSO

Question 16

Complication of circumferential hemorrhoidectomy

Answer 16

“White head deformity”

Anal stenosis

Question 17

Toxic dose of lidocaine

Answer 17

5 mg/kg

Question 18

Toxic dose of Bupivacaine

Answer 18

3 mg/kg

Question 19

Treatment for intersphincteric and ischiorectal abscess:

Answer 19

Transcutaneous drainage

Question 20

Treatment for supralevator abscess:

Answer 20

Transrectal drainage

Question 21

Treatment for horseshoe abscess

Answer 21

Bilateral I&D

Question 22

Surgery for anal fissure

Answer 22

Lateral internal sphincterectomy

Done in 3 oclock and 9 oclock

Question 23

Common sites of melanoma

Answer 23

1 - skin
2 - eye
3 - anus