export_rectum anus and prostate

Question 1

Melena

Answer 1

Black, tarry stools

High protein, bleeding from a high source in the GI

Question 2

Stools that are black, but not tarry

Answer 2

Iron

Bismuth salts

Question 3

Hematochezia

Answer 3

Red blood in stool
Lower source (colon, rectum, or anus)

Hemorrhoids, etc.

Question 4

Reddish, nonbloody stool

Answer 4

Ingestion of red foods

Question 5

Do you screen for prostate cancer?

Answer 5

No, the USPSTF ranks this screen at a D, which indicates no screening

Question 6

What does “cancer” mean?

Answer 6

Social term referring to biological agent that will kill a person before their natural time of death

Question 7

What does “screening” mean?

Answer 7

When you are looking for disease or dysfunction when the person doesn’t have symptoms

Question 8

If a patient has symptoms, what are you doing when you try to find the problem?

Answer 8

Diagnose, NOT screen

Question 9

Screening studies

Answer 9

PSA and DRE

Commonly recommended, uncommonly useless

Question 10

Issues with DRE

Answer 10

Low sensitivity

Good at posterolaterally-positioned masses

Question 11

Screening recommendation for colorectal cancer

Answer 11

50-75 = grade A
76-85 = grade C

Over 85 = grade D

Question 12

Bacterial prostatitis findings

Answer 12

Calor
Dolor
Rubor

The above refer to inflammation

Tumor

Question 13

BPH findings

Answer 13

Enlarged
Nontender

Hard

Symmetrical

Question 14

Prostate cancer findings

Answer 14

Nodules
Nontender

Induration

Asymmetric

Question 15

Rectal prolapse

Answer 15

Protruding mass
Reducible initially

Associated with poor bowel habits