Hemorrhoids (new link)

Name:

TRUE OR FALSE: Hemorrhoids are part of normal anatomy and plays a role in continence mechanism and aid in complete closure of the anal canal at rest.

TRUE

FALSE

TRUE OR FALSE: Hemorrhoids must be treated immediately as they are detected to prevent complications

TRUE

FALSE

The following are risk factors for the development of hemorrhoidal disease, EXCEPT:

Excessive straining

Increased abdominal pressure

High intake of psyllium fiber

Hard stools

These type of hemorrhoids prolapse into the anal canal and require manual reduction.

External hemorrhoids

Internal hemorrhoids - second degree

Internal hemorrhoids - third degree

Internal hemorrhoids - fourth degree

A complete endoscopic evaluation of the colon is indicated for the following patients EXCEPT:

50 year old whose last colonoscopy was 1 year ago

35 year old with positive fecal immunochemical testing (FIT)

45 year old with a mother who was diagnosed with colorectal CA at 58 y.o.

60 year old who has no family history of colorectal CA, no prior colonoscopies

TRUE OR FALSE: An active lifestyle has no benefit on improving symptoms of hemorrhoidal disease

TRUE

FALSE

The following are non pharmacologic treatment for hemorrhoids EXCEPT:

Warm Sitz bath

High fiber diet

Increase oral fluid intake

Reduce fat consumption

None of the above

TRUE OR FALSE: Steroids have no role in the management of symptomatic hemorrhoids and should be avoided.

TRUE

FALSE

TRUE OR FALSE: Rubber band ligation and Sclerotherapy are non operative procedures that may be done in all patients with symptomatic hemorrhoids

TRUE

FALSE

TRUE OR FALSE: Operative management such as hemorrhoidectomy is the only appropriate emergent management for hemorrhoids with acute thrombosis and strangulation

TRUE

FALSE

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