Answer 45

45.  Choice A is the correct answer.  Adenomatous polyps are the most likely to advance to colon cancer.  It is rare for Hamartomas to advance to cancer.  Inflammatory pseudopolyps come as a result of inflammatory bowel disease.  Mucosal polyps are clinically insignificant.

Question 45

45.  Which of the following polyps are most likely to advance to colon cancer?

A.  Adenomatous polyps
B.  Inflammatory Pseudopolyps
C.  Mucosal polyps
D.  Hamartomas

Answer 44

44.  Choice B is the correct answer.  Crohns Disease and ulcerative colitis are the most common causes of toxic megacolon.  Volvulus, diverticulitis, chronic constipation, ischemic colitis, and obstructive cancer are all causes of toxic megacolon.

Question 44

44.  Which of the following is the most common cause of toxic megacolon?

A.  Volvulus
B.  Crohns Disease
C.  Diverticulitis
D.  Chronic Constipation

Answer 43

43.  Choice C is the correct answer.  The enema needs to be water soluble for it to work and help break up the solid mass of feces.  NG compression will not be painful and Colace will not do enough to resolve the problem.  Magnesium citrate may may the patient really uncomfortable and cause a lot of discomfort.

Question 43

43.  Your patient is a 83 year old female found to have fecal impaction on examination. Manual disimpaction is incomplete but partially successful.  Which of the following is the best management option?

A.  NG decompression
B.  Magnesium Citrate
C.  Gastrografin enema
D.  Colace 100 mg BID

Answer 42

42.  Choice A is the correct answer.  External hemorrhoids not internal hemorrhoids are treated with surgical excision as a last resort.  The remained of choices are acceptable therapies.