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Anorectal conditions

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  1. An 18-year-old young man has one episode of painful bleeding per rectum during defecation. The pain lasted for 1-2 hours before resolving spontaneousl… D-024تكرر ×4
  2. A 60-year-old man has rectal bleeding. On examination, he has 3rd degree hemorrhoids. Which of the following is the most appropriate management? D-023تكرر ×3
  3. A young man has anal discharge and itchiness. An anterior perianal opening with an internal opening below the dentate line were noted during exam. Wha… D-027تكرر ×2
  4. A 38-year-old lady presents with a posterior anal fissure. The clinical feature diagnostic of chronicity is: D-035تكرر ×2
  5. y.o pateint diagnosed by primary physican as case of 2nd degree haemorrhoid with intermittent rectal bleeding, medically free. lab investigation show … D-057تكرر ×2
  6. A 28-year-old man, presented with acute on top of chronic anal pain of two days duration. He reports a 3-month history of recurrent anal pain and bloo… D-061تكرر ×2
  7. A 23-year-old man presents with a 6-month history of perianal pain and blood streaks after defecation. On examination, he has a deep dermal tear at 12… D-025
  8. Which of the following conditions can not be felt on rectal examination? D-026
  9. A 35-year-old man presents to the outpatient department with rectal bleeding. Whilst obtaining a clinical history, the characteristics most predictive… D-028
  10. A 40-year-old woman is suspected to have high anal fistula. What is the most reliable investigation to confirm the diagnosis? D-029
  11. A 52-year-old male underwent hemorrhoidectomy 6 hours ago and is now complaining of severe abdominal pain. On abdominal examination, there is a swelli… D-030
  12. A 55-year-old woman has an intermittent bright red rectal bleeding. On examination, she is vitally stable, and digital rectal examination shows small … D-031
  13. A 19-year-old man has an acute painful anal swelling. Examination reveals this to be a hard, tender and purple swelling below the dentate line. What i… D-032
  14. A 35-year-old patient presents with recurrent perianal pain and occasional discharge and blood spotting. Examination showed a pin size opening at 5 o'… D-033
  15. A clinical marker indicating an anal fissure to be chronic is: D-034
  16. A 32-year-old female presents with a sudden perianal painful swelling after an episode of severe straining. On exam it's bluish, round, 2 X 2 cm in si… D-036
  17. A 56-year-old man presents to the clinic with history of frequency, nocturia, and a weak, interrupted stream for 2 years. His history is otherwise unr… D-037
  18. A 55-year-old woman presents with intermittent bright red PR bleeding. On examination She is stable, and PR/ Proctoscopy shows grade II (two) hemorrho… D-038
  19. A 38-year-old male patient represented to outpatient clinic with history of palpable lump on defecation but is reduces spontaneously following defecat… D-039
  20. A 55-year-old man presents in clinic with intermittent bright red PU bleeding mixed with motion. On examination he is stable, and PR/ Proctoscopy Show… D-040
  21. A 23-year-old man presents with a 6 months history of perianal pain, blood streaks after defecation. On examination patient has a deep dermal tear at … D-041
  22. A patient with a posterior anal fistula at approximately at 4 o'clock and 2 cm from anal verge is likely to drain in the anus at an internal opening l… D-042
  23. Which of the following is commonly associated with perianal fistula? D-043
  24. A 45-year-old gentleman presented with rectal bleeding. Red flag symptoms for colorectal cancer would be considered if a combination of which of the f… D-044
  25. Which of the following is a feature of pilonidal sinus? D-045
  26. What is the most acceptable therapy for sigmoid diverticulitis complicated by colovesical fistula? D-046
  27. A 24-year-old lady with a long-standing history of constipation is referred to you by a well-known female family physician (FP) with hemorrhoids. On a… D-047
  28. A 57-year- old male patient presented to the clinic with painful bleeding per rectum. He was complaining of constipation for many days prior to this p… D-048
  29. A 48-year- old heavy labor worker presented with circumferential hemorrhoids. Proctoscopy revealed 2nd degree with no evidence of active bleeding. The… D-049المصادر مختلفة
  30. A 28-year-old male patient presented to the clinic with chronic anal pain. Examination revealed chronic anal fissure. What would be the most effective… D-050
  31. A 48-year-old heavy labor worker presented with bleeding per rectum. Proctoscopy revealed 2nd degree hemorrhoid with no evidence of active bleeding. W… D-051
  32. A young male patient with anterior perianal fistula drainage into the anal canal below the dentate line. What is the best treatment option? D-052
  33. A 30-year-old lady presents with fresh painless bleeding. She is also known to suffer from chronic constipation. Her weight is steady and her appetite… D-053
  34. Which of the following is a feature of internal hemorrhoids? D-054
  35. Which of the following is characteristic of perianal fistula? D-055
  36. Y women complain of sudden pain in the anal verg after sever straining Which of the following nerve carries the pain ? D-056المصادر مختلفة
  37. 24-year-old female patient complaining of discharge of mucus and blood she noticed pits in the sacrococcygeal area and one of them contain hair what i… D-058
  38. A 67-year-old woman with chronic constipation. The physician prescribed a laxative that acts by absorbing water into the colon contents, thus forming … D-059غير محسوم
  39. A 35-year-old woman presented with anal fistula. The external opening was found at 6 O’clock region 1 cm from the anal verge. Based on Goodsall’s rule… D-060
  40. A 68-year-old female k/c of DM, HTN and hip replacement surgery 2 years ago, complaining of painful defecation, the pain starts after defecation and l… D-062