Physcical Exam of the Anus, Rectum, & Prostate

Question 1

what position is a rectal exam conducted

Answer 1

knee-chest, left lateral with hips and knees flexed

standing with hips flexed and upper body supported by exam table

Question 2

what areas are inspected in a rectal exam

Answer 2

sacrococcygeal (pilonidal) and Perianal Area

anus

Question 3

a healthy prostate has a diameter of approximately what size

Answer 3

4cm with less than 2 cm protrusion into the rectum

Question 4

persistent pencil like stool may indicate what

Answer 4

permanent stenosis from scaring or presence of malignancy

Question 5

light tan / grey stool

Answer 5

obstrictive jaundice

Question 6

what is the normal exam finding of the median sulcus

what if its obliterated

Answer 6

palpable

hypertrophy or neoplasm is suspected

Question 7

what indicated of a rubbery or boggy consistency of a prostate

Answer 7

benign hyper hypertrophy or infection

normal in older adults

Question 8

stony hard nodules or neoplasm on the prostate indicate what

Answer 8

carcinomas