Chapter 25: Anus, Rectum, and Prostate

Question 1

Anal canal

Answer 1

Outlet of gastrointestinal tract; lined with modified skin; no hair or sebaceous glands

Question 2

Where is the rectum in reference to the large intestine?

Answer 2

It is distal to the small intestine

Question 3

Prostate gland location

Answer 3

Lies in front of anterior wall of rectum and 2 cm behind symphysis pubis
Surrounds bladder neck and urethra

Question 4

When is meconium passes?

Answer 4

Within 24 hrs

Question 5

Gastrocolic reflex

Answer 5

Wave of peristalsis in response to eating (infant passes stools by reflex

Question 6

Male prostate at puberty

Answer 6

prostate gland undergoes a very rapid increase to more than twice its prepubertal size; during young adulthood size remains fairly constant

Question 7

Prostate cancer is most common in which group of people?

Answer 7

North America and northwestern Europe; less common in Central and South Americas, Africa, and Asia
May increase risk with obesity and a high fat, dairy and red meat diet

Question 8

Colorectal Cancer common in who?

Answer 8

People over 50 are most affected

Question 9

Melena stool

Answer 9

Dark stool

Question 10

Red bloody stool is due to what?

Answer 10

GI bleed

Question 11

What is clay colored stool due to?

Answer 11

Biliary problem

Question 12

Steatorrhea

Answer 12

the excretion of abnormal quantities of fat with the feces owing to reduced absorption of fat by the intestine.

Question 13

Fecal incontinence

Answer 13

the inability to control your bowel movements, causing stool (feces) to leak unexpectedly from your rectum

Question 14

What position should you place a female when examining genitalia and rectum?

Answer 14

Lithotomy

Question 15

What position should you place someone when doing a rectal exam?

Answer 15

Left lateral decubitus position

Standing can also be used for men

Question 16

How should the prostate gland feel?

Answer 16

Elastic, rubbery, slightly moveable, smooth

Question 17

Benign prostatic hypertrophy

Answer 17

S: urinary frequency, urgency, hesitancy, straining to urinate, weak stream, intermittent stream, nocturia
O: symmetric, non tender enlargement, commonly in males, prostate is smooth and rubbery

Question 18

Prostatis

Answer 18

S: fever, chills, malaise, urinary infrequency, dysuria, urethral discharge; dull, aching pain in perineal and rectal area
O: tender enlargement, swollen, asymmetric gland

Question 19

Carcinoma

Answer 19

S: Frequency, nocturia, hematuria, weak stream, hesitancy, pain or burning while urinating; continuous pain in back, pelvis, thighs
O: A malignant neoplasm often starts as a single hard nodule on the posterior surface, asymmetric, median sulcus is obliterated, feels stone hard

Question 20

Prostate problems SIGNS

Answer 20

Frequency
Urgency
Nocturia
Hematuria
Increased infections
Decreased Urinary Stream
Increased residual urine