Exam 2026 WITH Recent Newest Verified And Well Analyzed
Exam Questions (Actual Exam 2026-2027) Correct Detailed &
Verified ANSWERS (100% Accurate Solutions) ALREADY
GRADED A+||NEWEST VERSION Of The Exam Guarantee
Pass!!
rectoanal inhibitory reflex -ANSWERS-the involuntary relaxation of the IAS when the
rectum is stretched that allows feces to move down anal canal
sampling reflex -ANSWERS-when rectal contents contact Anoderm (receptors at distal
anal canal) for differentiation allows squamous epithelium below the Denate Line with
sensory receptors that differentiate between solid, liquid, gaseous rectal contents
anal wink -ANSWERS-with cotton swab, swipe at 5 and 7 o'clock on the buttocks with
the patient in the modified lithotomy position a focused physical exam that assesses
prostate and pelvic muscle control and verifies function of pudendal nerve
bulbocavernosus reflex -ANSWERS-in modified lithotomy position, squeeze penis glans
to verify external anal sphincter wink or flick the clitoris in females a focused physical
exam that assesses prostate and pelvic muscle control and verifies function of pudendal
nerve
5 factors that promote continence -ANSWERS-1: colonic transit, stool volume, and
consistency
2: sensory awareness
3: sphincter competence
4: rectal compliance and capacity
5: extrinsic factors
encopresis -ANSWERS-a disorder characterized by repeated stool evacuation in
inappropriate places in children over the age of four
,primary: children who never reached continence
secondary: children who reached continence for at least a year and are now relapsed
sympathetic nervous system role -ANSWERS-*involuntary*
When the rectum is empty, the SNS inhibits the contraction of the rectal wall, and
contracts the internal anal sphincter (IAS) to prevent leakage parasympathetic nervous
system role -ANSWERS-when the rectum is filled post mass transit, it stretches and the
PNS sends information to the CNS to coordinate bowel elimination. The rectum then
contracts in conjunction with the ENS and the IAS relaxes. Feces then moves down the
anal canal to the external anal sphincter (EAS)
enteric nervous system -ANSWERS-The intrinsic nervous system within the bowel wall.
This system responds to a variety of stimuli and generates peristalsis
secretory diarrhea -ANSWERS-The absorptive capacity of the bowel is overwhelmed by
the volume of water and electrolytes that are secreted into it
osmotic (absorptive) diarrhea -ANSWERS-inadequate or reduced absorption of the
bowel
functional (motility) diarrhea -ANSWERS-Increased motility results in decreased contact
time of the stool with the lumen and intestinal mucosa
external anal sphincter -ANSWERS-composed of smooth muscle that maintains
sphincter tone (contraction) and striated muscle that permits voluntary
control/contractility
parasympathetic nervous system -ANSWERS-part of the autonomic nervous system
that acts to promote colonic peristalsis and motility activity
, sympathetic nervous system -ANSWERS-part of the autonomic nervous system that
acts to reduce intestinal motility and secretions
soluble fiber -ANSWERS-foods that contain soluble fiber have the ability to absorb and
retain water*use to help resolve diarrhea
insoluble fiber -ANSWERS-foods that contain insoluble fiber add bulk to the stool and
do not absorb water*use to help resolve constipation
irritable bowel syndrome -ANSWERS-cause is unknown but thought to be multifactorial
including: multifactorial: visceral hypersensitivity, enhanced GI permeability known as
"leaky gut", altered composition of the GI microbiota, low-grade inflammation, altered
immune response, autonomic nervous system dysfunction, altered bile acid metabolism,
and psychological distress
IBS s/s -ANSWERS-Abdominal pain, bloating and distention, feelings of incomplete
emptying, changes in stool frequency and consistency, pain relieved by defecation,
Abdominal pain associated with eating and intraluminal stimulation such as gas,
constipation and/or diarrhea
obstructed defecation syndrome -ANSWERS-disorders that are characterized by the
inability to eliminate normally, even when the stool is an ideal form/consistency. May be
the result of muscle/sphincter control issues or mechanical obstacles
pelvic floor dyssynergia -ANSWERS-*most common cause of obstructed defecation
syndrome*
results from the inability to coordinate pelvic floor and sphincter relaxation and
abdominal muscle contraction. Person inadvertently contracts sphincter when trying to
relax it
diagnosis: sphincter remains contracted when person is instructed to bear down,
Impaired rectal sensation, Diagnosed with anorectal manometry