Question

Read the following Case Study and answer the questions based on the information.

History of Present Illness: The patient has been noted to have some bright, red bleeding intermittently for approximately 8 months, initially presumable of a hemorrhoidal basis. She recently has had intensification of the rectal bleeding but no weight loss, anorexia, or obstructive pain. No significant diarrhea or constipation. Some low back pain, probably unrelated. Recent colonoscopy by Dr. Scoma revealed a large sessile (attached by a broad base) polyp, which was partially excised at the 20 cm level, showing infiltrating adenocarcinoma at the base. The patient is to enter the hospital at this time, after home antibiotic and mechanical bowel prep, to undergo sigmoid colectomy and possible further resection.      

1. The patient has had which of the following chronic symptoms: .............

A. Loss of appetite

B. Melena

C. Hematochezia

D. Loose stools                                                

2. The cause of her chronic symptom was:

A. Glandular tumor of the stomach

B. Swollen rectal veins

C. Ulcerative colitis

D. Malignant tumor of the colon                                                                                                                                                                              

3. What procedure did she have recently that diagnosed her condition?

A. Visual examination of her large intestine

B. Removal of her sigmoid colon

C. Low anterior resection of the large intestine

D. Hemorrhoidectomy

                          

                                                                                                                                                            

Answer 1

1. The patient has had hematochezia.

Answer - C. Hematochezia

Hematochezia is a condition where the patient passes fresh blood in the stool.

As mentioned in the case study "The patient has been noted to have some bright, red bleeding intermittently for approximately 8 months"

It's not melena because melena refers to the passage of black stool (Not fresh blood), there are no signs of Loss of appetite and Loose stools.

2. The cause of her chronic symptom was Malignant tumors of the colon.

Answer - D. Malignant tumor of the colon.

That patient had large sessile (attached by a broad base) polyp, after excision that shows infiltrating adenocarcinoma at the base.

3. Visual examination of her large intestine she has recently that diagnosed her condition.

A. Visual examination of her large intestine

Visual examination of her large intestine means colonoscopy which was done by Dr. Scoma. After the colonoscopy, she was diagnosed with malignant tumors of the colon.

Other procedures such as the removal of her sigmoid colon and Low anterior resection of the large intestine can be done as a treatment of the condition.

Hemorrhoidectomy (Removal of Hemorrhoid) is not an option because there are no hemorrhoids.