Exam 2

Question 1

Surgery of the Perineum, Rectum and Anus LOs

Answer 1

1. Discuss surgical considerations that are unique to surgery of the perineum, rectum, & anus.
2. Summarize the clinical findings or actions likely to result in fecal incontinence when performing surgery of the perineum, rectum, & anus.
3. Explain the surgical approaches to the rectum and the clinical circumstances in which each is most appropriate.
4. Describe the Rectal Pull-Through Procedure.
5. State the primary indications for a rectal pull-through, and the common post-operative complications associated with it.
6. List the factors determined to be most likely affect the outcome of perineal herniorrhaphy.
7. Discuss rectal prolapse and explain how to differentiate it from other conditions that may have a similar clinical presentation.
8. Given a clinical case presentation, identify perianal fistulae as the likely cause, and summarize the preferred treatment.

Question 2

Rectal Resection

Answer 2

removal of a portion of the terminal large intestine

Question 3

Rectal pull-through

Answer 3

Resection of the terminal colon or midrectum (or both) using an anal approach, with or w/o an abdominal approach

Question 4

1. Discuss surgical considerations that are unique to surgery of the perineum, rectum, & anus.

Question 5

2. Summarize the clinical findings or actions likely to result in fecal incontinence when performing surgery of the perineum, rectum, & anus.

Question 6

3. Explain the surgical approaches to the rectum and the clinical circumstances in which each is most appropriate.

Question 7

4. Describe the Rectal Pull-Through Procedure.

Question 8

5. State the primary indications for a rectal pull-through, and the common post-operative complications associated with it.

Question 9

6. Asses a clinical scenario involving anal sac-related problems and determine the most appropriate course of action for addressing the problem.

Question 10

7. Describe the common complications of perineal, rectal and anal surgery, and explain courses of action that can be taken by the surgeon to avoid them.

Question 11

8. Given a clinical scenario, name the clinical condition and select the best course of action for successful colorectal or perineal surgical intervention/cure.

Question 12

9. List the factors determined to be most likely affect the outcome of perineal herniorrhaphy.

Question 13

10. Discuss rectal prolapse and explain how to differentiate it from other conditions that may have a similar clinical presentation.

Question 14

11. Given a clinical case presentation, identify perianal fistulae as the likely cause, and summarize the preferred treatment.