Q) Newest treatment for anal incontinence?
a. Sacral nerve stimulation
b. Artificial sphincter.
c. Repair of sphincter
d. Gluteus maximus graft
Answer a)
Sacral nerve stimulation is the newest modality in treatment for anal incontinence. In it electrodes are placed via the sacral foramina. The nerve supply of anal sphincter is similar to lower extremity so their stimulation can lead to contraction of various foot muscles.
Others are all older methods
Shackelford page 1779
Q) Most common pathological finding on defecography studies is
a) Rectocele
b) Intussusception
c) Anismus
d) Sigmoidocele
Discuss what is defecography? Diseases diagnosed by it
Q) True statement about colonic bleeding: More Questions on colon
a) Bleeding from diverticulitis is severe and often requires interventional procedures to stop it
b) In colitis risk of brisk bleeding is less and diarrhea is absent
c) In haemaorrhoids, haemodynamic compromise is rare
d) Bleeding from angiodysplasia is always slight and managed endoscopically
Q) CEA surveillance in normal person whose father and brother had colon cancer is helpful in
a) CEA is highly sensitive in picking up the diagnosis of colon cancer
b) HIGH preoperative CEA is predictive of unresectability in colon cancer
c) Increase in CEA after surgery is indicative of tumor recurrence
d) CEA is present in normal colonic mucosa
Q) True about altemeier procedure?
a) It is proctosigmoidectomy with posterior levataroplasty
b) Done in left lateral position
c) Recurrence rate can be as high as 50%
d) Altemeier was the 1st person to do it
Q) All of the following are seen in both ulcerative colitis and crohn's disease except
a) Aphthous ulcer
b) Pseudo polyp
c) Rectal disease
d) Obstructive symptoms
Q) False statement about Hirchsprung's disease is:
a) Male and Female have equal incidence
b) In approximately 8% of the patients entire colon is affected
c) After surgery constipation is the most common problem
d) Down syndrome can be seen in up to 3-5% patients
