Multiple Choice Questions (MCQ)

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Category: Surgery--->Colon, Rectum, and Anus
Page: 8

Question 36# Print Question

A 67-year-old man presents to the ED with a 2-month history of nausea, emesis, 20-lb weight loss, and worsening diarrhea until 4 days ago, when he stopped passing flatus and having bowel movements. A CT scan shows a large obstructing right colon mass that may be involving the omentum with two liver lesions. What should be resected in this case?

A. Right hemicolectomy, involved omentum, and as many of the peritoneal masses you can
B. Right hemicolectomy with arterial supply and as many nodes as you can
C. Right hemicolectomy with arterial supply, at least 12 nodes, the involved omentum, and resectable liver masses
D. Don't do a colon resection. This patient has distant metastases and should be diverted for palliation

Question 37# Print Question

A 30-year-old man presents to the ED after a witnessed syncopal episode. He has been having bloody diarrhea and intermittent crampy abdominal pain for the past 3 months. A week later he has a colonoscopy and is found to have ulcerative colitis based on colonoscopy findings and mucosal biopsies. Which feature of listed below is NOT seen in ulcerative colitis?

A. The terminal ileum shows inflammatory changes
B. The colon is shortened and mucosa is replaced by scars
C. Rectal sparing with inflammation seen in the transverse and descending colon
D. Atrophic mucosa with crypt abscesses

Category: Surgery--->Colon, Rectum, and Anus
Page: 8 of 8