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Choose your answers from a-d by clicking the radio button next to each choice and then press 'Submit' to get your score.

Which of the following is true with regards to the anatomy involved in the rectal examination?

a) The sacrum is palpated anteriorly

b) The pubic bone is palpated anteriorly in both sexes

c) In the male the testes can be appreciated anteriorly

d) The cervix can sometimes be felt anteriorly in the female

Which of the following is true about haemorrhoids?

a) Bleeding haemorrhoids lead to melaena per rectum (PR)

b) Pregnancy is a predisposing factor in causing haemorrhoids

c) Bleeding from first degree haemorrhoids is associated with pain

d) Second degree haemorrhoids cannot be returned to the anal canal

Which of the following is true about the rectal examination?

a) If the patient refuses a chaperone the doctor can overrule them

b) The rectal examination is of no value in a neurological examination

c) The optimum position of the patient is on their right side with their knees extended

d) The rectal examination is indicated for the assessment of some gastrointestinal disorders

Which of the following is true about rectal bleeding?

a) A painful digital examination suggests an anal fissure

b) Bright red blood on the finger usually signifies a caecal lesion

c) Proctoscopy is of no value in the assessment of rectal bleeding

d) Rectal cancer is the commonest cause of rectal bleeding

Which of the following is true about possible rectal findings?

a) The finding of a palpable median groove in the prostate is an adverse finding

b) Impacted faeces can sometimes be mistaken for a rectal tumour

c) A thrombosed haemorrhoid is painless

d) Peri-anal warts can only be demonstrated on proctoscopy

Oxford University Press, Online Resource Centre, Chapter 7.