PMK-EE E7 QUESTIONS AND
ANSWERS WITH COMPLETE
SOLUTION
Question :The internal anal sphincter is:
Select one:
- A continuation of the longitudinal muscles.
- Stimulated to contract by rectal filling.
- Reflexively relaxes by rectal filling.
- Under volitional control.
Correct answer:c. Reflexively relaxes by rectal filling.
Question :The reflex that allows an individual to differentiate
among stool, liquid and gas is known as the:
Select one:
- Gastrocolic reflex.
- Sampling reflex.
- Rectoanal inhibitory reflex.
- Wink reflex.
Correct answer:b. Sampling reflex.
Question :During your initial assessment, Mr. Gutter
complains of loss of gas and occasional liquid stool. You know this is evidence of what type of fecal incontinence and sphincter problems?
Select one:
- Passive incontinence & internal anal sphincter damage.
- Flatus incontinence & internal anal sphincter damage.
- Urge incontinence & external anal sphincter damage.
- Transient incontinence & external anal sphincter damage.
Correct answer:b. Flatus incontinence & internal anal
sphincter damage.
Question :Upon initial assessment of the patient with bowel
dysfunction or incontinence, which of the following findings would initiate a referral for further evaluation?
Select one:
- Unintentional weight loss.
- Rectum full of firm stool.
- Severe incontinence associated dermatitis.
- Chronic use of laxatives.
Correct answer:a. Unintentional weight loss.
Question :Bowel motility can be NEGATIVELY affected by:
Select one:
- Diabetic autonomic neuropathy and Parkinson's Disease
- Cerebral palsy and melanosis coli.
- Scleroderma and obesity.
- Pregnancy and hyponatremia.
Correct answer:a. Diabetic autonomic neuropathy and
Parkinson's Disease
Question :An essential assessment during the initial outpatient
clinic evaluation of a patient experiencing diarrhea and fecal
incontinence is to:
Select one:
- Recommend a containment device.
- Request a stool sample to check for microbial imbalances.
- Obtain a 7 to 14-day bowel and dietary diary.
- Refer to primary care for further evaluation.
Correct answer:c. Obtain a 7 to 14-day bowel and dietary
diary.
Question :During your initial interview, a patient reports his
typical stool consistency to be pellet-like and hard. This
finding suggests the patient may have:
Select one:
- Slow colonic transit.
- Ineffective absorption of fluid by the bowel wall.
- Excessive intake of dietary fiber.
- Ineffective internal sphincter control.