Fecal Incontinence

Question 1

The _____ is approximately 30 ft (9 meters) in length and is a continuous digestive tube transversing the body cavity

Answer 1

Alimentary canal

Question 2

IAS is a acronym for

Answer 2

Internal Anal Sphincter

Question 3

EAS is

Answer 3

External Anal Sphincter

Question 4

RAIR is

Answer 4

Rectoanal inhibitory reflex

Question 5

Motility refers to

Answer 5

Movement

Question 6

Which organ of the alimentary canal is shaped like an upside down “U”?

Answer 6

Large intestine

Question 7

Average transit time through the colon is 36-72 hours; however , with age transit time takes longer

T/f

Answer 7

False

Question 8

T/f the IAS (internal anal Sphincter) normally becomes thicker with age

Answer 8

True

Question 9

Which is the only anatomic site where voluntary visceral function comes under voluntary control?

Answer 9

Pelvic floor

Question 10

A healthy EAS (external Anal sphincter) provides which type of seal?

Answer 10

Airtight and watertight

Question 11

Which organ is the most distensible part of the GI?

Answer 11

Stomach

Question 12

There is no somatic nerve supply to this organ, so it is not under the voluntary control

Answer 12

Rectum

Question 13

This organ is commonly referred to as the “colon”

Answer 13

Large intestine

Question 14

Is it thought that excessive activity or stimulation of the ____. May be associated with fecal in continent

Answer 14

EAS

External Anal Sphincter

Question 15

In your own words, explain what happens when the nerves from the pelvic floor signal the brain an urge to defecate through having a bowel movement

Answer 15

Process begins with movement of gas, liquid, or solid contents into the rectum, distention of the rectum leads to stim of pressure receptors in the pelvic floor which stimulates the recto Anal inhibitory reflex. The internal Anal sphincter relaxes pelvic floor rises and both the sphincters relax and stool is evacuation the Anal canal. If the pelvic floor fails to relax this can lead to incomplete or ineffective evacuation

Question 16

Fecal incontinence is defined as the uncontrolled loss of:

Answer 16

Liquid stool and solid stool

Question 17

While true prevalence of FI is difficult to know, which statistic best represents its prevalence?

Answer 17

Between 2-20%

Question 18

Once cause of FI is said to be idiopathic. What does that refer to?

Answer 18

An unknown cause

Question 19

Which diagnostic test assessed Anal sphincter function abs is indicated in FI to exclude impaired sphincter function as the cause of incontinence

Answer 19

Ana manometry

Question 20

Which diagnostic test is one of the best tools to detect colon cancer and gastrointestinal issues?

Answer 20

Colonoscopy

Question 21

There is no single objective study that can definitively assess all aspects is anorectal function.

T/f

Answer 21

True

Question 22

When is a patient not a good candidate for conservative treatment?

Answer 22

When patient is unwilling to try conservative treatment

When the physician and patient decide the patients FI is too severe

Question 23

Which type of conservative treatment is best described by “rectal sensation training?

Answer 23

Biofeedback

Question 24

Which type of dietary adjustment has been found useful in controlling FI?

Answer 24

Increasing dietary fiber

Decreasing dietary fiber

Question 25

Prior to interstim therapy approval for FI, what was the treatment of choice for patients with Anal incontinence and evidence of an Anal sphincter defect?

Answer 25

Sphinctoplasty