<div><strong>Surgical Dr. Kimsath</strong></div>

1. Hemorrhoid grade I is :

Hemorrhoid are prominent but do not prolapse

Hemorrhoid prolapse but require manual reduction

Hemorrhoids prolase and cannot be manually reduced

Hemorrhoids prolapse and cannot be manually reduced

2. Hemorrhoid grade II is :

Hemorrhoids are prominent but do not prolapse

Hemorrhoids prolapse but spontaneously reduce

Hemorrhoid prolapse but require manual reduction

Hemorrhoids prolapse and cannot be manually reduced

3. Hemorrhoid grade III is :

Hemorrhoids are prominent but do not prolapse

Hemorrhoids prolapse but spontaneously reduce

Hemorrhoids prolapse but require manual reduction

Hemorrhoids prolapse and cannot be manually reduced

4. Hemorrhoid grade IV is :

Hemorrhoids are prominent but do not prolapse

Hemorrhoids prolapse but spontaneously reduce. Emorrhoids prolapse but spontaneously reduce.

Hemorrhoids prolapse but require manual reduction

Hemorrhoids prolapse and cannot be manually reduced

7. The following statements about the cause of anorectal pain is correct:

13. The following statements about the cause of anorectal discharge is correct:

14. The following statements about the cause of anorectal discharge is correct:

15. The main reason of acute anal abscess is:

Hemorrhoids

Most abscesses are cryptoglandular in etiology

Trauma

Rectal prolapse

16. The following statements about the anorectal are classified by their anatomic location are true except:

17. The following statements about the symptom of anorectal abscess are true except:

18. The following statements about the clinical sign of anorectal abscess are true except:

Erythema

Fluctuance

Asymmetry between the right and left perirectal tissue

Rectal prolapse

19. The following statements about the clinical sign of anorectal abscess are true except:

Erythema

Fluctauance

Asymmetry between the right and keft perirectal tissue

Hemorrhoid prolapse

20. The most common form of anorectal abscess is:

Intersphincteric

Supralevator

Ischiorectal

Extrasphinteric

21. The most common form of anorectal abscess is :

Intershpincteric

Perianal abscess

Supralevator

Gxtrasphincteric

22.What is anal fistula?

Fistula from rectum to perianal skin

Vesico vaginal fistular

Urethral fistula

Rectal prolapse

23. What is the most common pathophysiology of perianal abscess:

Bacterial colonization

Bacterial invasion

Anal gland occlusion

Bacteremia

24. In which grade of hemorrhoids does prolapse occur that can be manually reduced?

Grade 1

Grade 2

Grade 3

Grade 4

25. What are the causes anal fistular:

Usually anal crypt/gland infection (usually perianal abscess)

Rectal tumor

Thrombose external hemorrhoid

Rectal prolapse

26. What are the anal fistular signs/symptoms:

Perianal drainage

Perirectal abscess

Recurrent perirectal abscess

Perianal fluctuance

27. The following statements about the How is the anal fistular diagnosis made? Are true except:

28.What is Goodsall's rule?

Internal opening of an anterior fistula lies along a radial line drawn from the external opening to the anus, the internal opening of a posterior fistula lies in the mid-line posteriorly

Internal opening of an anterior fistula lies in the mid-line posteriorly

The internal opening of a posterior fistula lies along a radial line drawn from the external opening to the anus

There are only one external opening

30.Which type, internal or external, hemorrhoid is painful?

Thrombose of external hemorrhoid, below the dentate line

External hemorrhoid above the dentate line

Internal hemorrhoid below the dentate line

Internal hemorrhoid grade I

32.What is an internal hemorrhoid?

Hemorrhoid above the (proximal) dentate line

Hemorrhoid below the dentate line

Presence the external opening

Never bleeding

33. What is an external hemorrhoid?

Hemorrhoid above the dentate line

Never thromboses

Hemorrhoid below the dentate line

Presence internal opening

34. How is the diagnosis made anorectal abscess are true. except:

Physical/digital examination with anesthesia

Perianal/ rectal submucosal mass, fluctuance

Perianal soft tissue red, warm

Perianal soft tissue swelling

Rectal prolapse

35. Following methods are used for fistula in ano examination are true, except:

Visual examination and palpation

Endoanal ultrasound

Staining of the fistula tract

Fistulography or MR fistulography

36. The following statements about the classification of fistula in ano are true except

37. Which of the following is not a content of the inguinal canal in males?

Spermatic Cord

Inferior Epigastric Artery

Genital Branch of the Genitofemoral Nerve and Vessels

Ilioinguinal Nerve

38. A patient presents to you with a protrusion through the deep inguinal ring that is entering the inguinal canal and extending into the scrotum. The protrusion is lateral to the inferior epigastric blood vessels. Which of the following is most likely type of hernal?

Direct Inguinal Hernia

Indirect Inguinal Hernia

Femoral hernia

Umbilical hernia

39. A patient presents to you with a protrusion in Hesselbach's triangle. You suspect that the patient has a direct inguinal hernia. Which of the following is not a boundary of Hesselbach's Triangle?

Inferior Epigastric blood vessels

Inguinal Ligament

Rectus Abdominis

Linea Alba

40. The following statements about increased intraabdominal pressure that caused of inguinal hernia, are true except:

41.The following statements about symptom of inguinal hernia are true except:

42. The following statements about emergency presentation of strangulated of inguinal hernia

43. The following statements about are boundaries of Hesselbach triangle, are true except:

Lateral border: inferior epigastric artery

Medial border: lateral border of rectus abdominis

Medial border: border of rectus abdominus

Base inguinal ligament

44. What is expansile cough impulse?

Movement of the swelling without expansion

Compress the lump firmly with your fingers, then ask the patient to turn his head toward the opposite side, and then to cough

Hydrocele

Spermatic cord lipoma

45. What is reducible inguinal hernia?

A hernia is one whose contents or part of contents cannot be return to the abdomen, without serious symptoms.

A hernia is one in which the contents of the sac return to the abdomen spontaneously

Is one whose contents cannot be returned to the abdomen, with severe symptoms

Denotes compromise to the blood supply of the contents of the sac

46. What is Incarcerated inguinal hernia?

A hernia is one whose contents or part of contents cannot be return to the abdomen, without serious symptoms

A hernia is one in which the contents of the sac return to the abdomen spontaneously

Is one whose contents cannot be returned to the abdomen, with severe symptoms

Denotes compromise to the blood supply of the contents of the sac

47. The following statements about Differential diagnosis of inguinal hernia of inguinal hernia are true except:

48. The following statements about the cause of intra-abdominal mass

49.The following statements about the cause of intra-abdominal mass, are true except:

50.The following statements about the cause of intra-abdominal mass in the right iliac fossa, are true except:

Surgical Dr. Kimsath

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