Font size
WorksheetsColon rectum anus pretest
Total questions: 15
Worksheet time: 15mins
Which of the following statements are true regarding the anatomy of the colon, rectum, and anus?
The intraperitoneal colon and proximal one third of the rectum are covered by serosa; the mid and lower rectum lack serosa
The cecum is the most vulnerable to perforation and obstruction
The sigmoid colon is the narrowest part of the large intestine and is extremely mobile
The marginal artery of Drummond is complete in only 15% to 20% of people
Name the three muscles that form the levator ani muscle of the pelvic floor
(a)
The following arteries are ligated in right colectomy except
Ileocolic artery
Right colic artery
Right branch of the middle colic artery
Middle colic artery
Which of the following is an elective indication for surgery in patients with Ulcerative colitis?
Massive hemorrahge
Toxic megacolon
Fulminant colitis
Intractability
55/M known case of Crohn’s disease came in due to perianal pain. On rectal exam, noted skin tag and mucosal break at the posterior portion of the anus. What is your plan?
Pain meds and high fiber diet
Excision of skin tag
Excision fo skin tage and sphincterotomy
Sphincterotomy only
75/M came in due to fever and left lower quadrant pain. On PE, stable VS but with direct tenderness, LLQ and hypogastric region. WAB CT scan done revealing fluid collection at the pelvis around 3cm in widest diameter. What is your plan?
Bowel rest and IV antibiotics
Bowel rest and IV antibiotics and percutaneous drainage
For diagnostic laparoscopy, drainage of abscess
For exploratory laparotomy
32/M with noted polyp on the small bowel, colon, and rectum. On further physical exam, noted melanin spots on the lips. What is your diagnosis?
Hyperplastic Polyposis
Peutz-Jeghers syndrome
Cowden syndrome
Lynch syndrome
15/M with family history of FAP was worked up, with noted APC gene mutation. When would you recommend to start flexible sigmoidoscopy?
Annual flex sig at age 10
Annual flex sig at age 20
Annual flex sig at age 40
Annual flex sig at age 50
20/F with a family history of Lynch syndrome, with youngest diagnosed relative at 40yo came in for screening. When would you advise the screening to start?
Screening colonoscopy at 20yo, TVS with biopsy at 25yo
Screening colonoscopy at 30yo, TVS with biopsy at 30yo
Screening colonoscopy and TVS at 35yo
Screening colonoscopy and TVS at 40yo
53/M post descending colon resection revealed the following histopath findings: Tumor involves the muscularis propria, with 2 positive nodes, non metastatic. What is the stage?
Stage IIA
Stage IIb
Stage IIIA
Stage IIIB
48/M diagnosed with rectal carcinoid measuring 1.5cm in largest diameter. What is your plan?
Ablation
NIGRO protocol
Wide local transanal excision including the muscle layer
APR
37/F ECOG 1 with rectal prolapse came in for surgical consult. What will be your planned procedure?
Ripstein Rectopexy
Delorme procedure
Altemeier procedure
Anal encirclement
45/M diagnosed with Anal intraepithelial neoplasia 2cm in widest diameter, no nodal involvement. What is your planned procedure?
Topical imiquimod
Wide local excision
ChemoRT
APR
60/M diagnosed with Anal Invasive Paget’s disease 1.5cm widest diameter, no nodal involvement. What is your planned procedure?
Topical imiquimod
Wide local excision
ChemoRT
APR
47/M diagnosed with Anal Melanoma 1.5cm widest diameter, no nodal involvement. What is your planned procedure?
Topical imiquimod
Wide local excision
ChemoRT
APR
