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MIDTERM EXAM 2026-2027
Which of the following statements about Crohn's disease and/or ulcerative
colitis is true?
Select one:
a. Both Crohn's Disease and ulcerative colitis are characterized by patchy
mucosal involvement and skip lesions.
b. Crohn's Disease is limited to the colon and rectum.
c. Ulcerative colitis is characterized by transmural involvement of the bowel
wall.
d. Ulcerative colitis begins in the rectal area and progresses backward
toward the ileocecal valve.
d. Ulcerative colitis begins in the rectal area and progresses backward
toward the ileocecal valve.
,You are consulted to see a patient who has just been diagnosed with low
rectal
cancer located distal to the dentate line. You will prepare teaching materials
to cover content areas related to which of the following surgical
procedures?
Select one:
a. Low anterior resection (LAR).
b. Abdominoperineal resection (APR).
c. Total proctocolectomy (TPC).
d. Ileal Pouch Anal Anastomosis (IPAA or IAR).
b. Abdominoperineal resection (APR).
Pneumatosis is a radiologic finding associated with:
Select one:
a. Hirschsprung's disease.
b. Gut Malrotation.
c. Diverticulitis.
d. Necrotizing Enterocolitis (NEC).
d. Necrotizing Enterocolitis (NEC).
,When preparing a 35-year-old male for colon resection with a temporary
ileostomy due to refractory Crohn's disease, he asks about sexual function
after surgery. You explain that this procedure involves:
Select one:
a. Removal of the rectum only.
b. Moderate incidence of premature ejaculation.
c. Do not anticipate any sexual dysfunction.
d. High incidence of erectile dysfunction.
c. Do not anticipate any sexual dysfunction.
You receive a referral for a patient scheduled for an abdominoperineal
resection.
Prior to reviewing the chart and interviewing the patient you can anticipate
his diagnosis to be:
Select one:
a. Transitional cell carcinoma of the bladder.
b. Adenocarcinoma of the rectum.
c. Familial Adenomatous polyposis. (FAP)
d. Diverticulitis.
b. Adenocarcinoma of the rectum.
Anorectal malformation in the neonate is also known as:
Select one:
a. Hirschsprung's disease.
b. Imperforate anus.
c. Turcot syndrome.
d. Volvulus.
b. Imperforate anus.
, Which of the following types of stoma construction methods is NOT
completely diverting?
Select one:
a. End stoma.
b. Loop stoma.
c. Separated double barrel stoma.
d. Brooke ileostomy.
b. Loop stoma.
A Hartmann's Procedure (Pouch) is constructed when the:
Select one:
a. Proximal edges of the rectal segment are over sewn and left in the pelvis
following colon resection.
b. Entire colon is removed, and an ileal pouch is constructed in the pelvis.
c. A reservoir is constructed in the abdomen for small bowel disease.
d. The cecal reservoir is constructed and effluent is emptied with a catheter.
a. Proximal edges of the rectal segment are over sewn and left in the pelvis
following colon resection.