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Chapter: 6 / Q: 68
A 43-year-old woman presents with complaints of anal pain and spotting of blood with defecation. Physical examination reveals a 2 3 cm area of ulceration within the anal canal. The remainder of the physical examination is normal. Incisional biopsy is positive for squamous cell carcinoma
Chapter: 6 / Q: 69
Recurrent episodes of sigmoid colonic diverticulitis prompt operative therapy. Which of the following describe the appropriate margins for resection?
Chapter: 6 / Q: 70
An elderly man presents with complaints that he is passing gas with urination. The past medical history is positive for one episode of diverticulitis, treated medically, transurethral resection of the prostate for benign prostatic hypertrophy, and diabetes. Which of the following diagnostic
Chapter: 6 / Q: 71
For the patient in the preceding question, a colovesical fistula originating from the sigmoid colon is demonstrated. Colonoscopy reveals diverticula and excludes carcinoma. During laparotomy, a thickened sigmoid colon is found to be adherent to the dome of the bladder. A definite fistula is not
Chapter: 6 / Q: 72
A 65-year-old woman develops obstipation, lower abdominal pain, and fever. Physical examination reveals a temperature of 38.5°C, left lower quadrant tenderness, and an ill-defined lower abdominal mass. White blood count is 17,500 per mm3. Intravenous hydration, broad spectrum antibiotics
Chapter: 6 / Q: 73
Which of the following statement(s) relating to anal sphincteric function is/are correct?
Chapter: 6 / Q: 74
The most common complication after hemorrhoidectomy is which of the following?
Chapter: 6 / Q: 75
Appropriate treatment of chlamydial proctitis includes which of the following?
Chapter: 6 / Q: 76
A 65-year-old man presents with complaints of mucous discharge and perianal discomfort. Physical examination reveals a fistulous opening lateral to the anus. Anoscopic examination permits passage of a probe through the fistula tract. The fistula traverses the internal anal sphincter
Chapter: 6 / Q: 77
For the patient in the preceding question, appropriate management includes which of the following?
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