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1.Infants with anorectal anomalies tend to have other congenital anomalies.Associated

abnormalities include which of the following?

a. Abnormalities of the cervical spine

b. Hydrocephalus

c. Duodenal atresiad. Heart disease

e. Corneal opacities

2.A 48-year-old woman develops pain of the right lower quadrant while playing tennis.The pain

progresses and the patient presents to the emergency room later that day with a low-grade fever, a

white blood count of 13,000,and complaints of anorexia and nausea as well as persistent,sharp

pain of the right lower quadrant, On examination she is tender in the right lower quadrant with

muscular spasm and there is a suggestion of a mass effect.An ultrasoundis ordered and shows an

apparent mass in the abdominal wall.Which of the following is the most likely diagnosis?

a. Acute appendicitis

b. Cecal carcinoma

c. Hematoma of the rectus sheath

d. Torsion of an ovarian cyst

e. Cholecystitis

3.Which of the following statements concerning imperforate anus is true?

a. Imperforate anus affects makes more frequently than females

b. In 90% of males,but only 50% of females,the rectum ends below the level of the levator ani

complex

c. The rectum usually ends in a blind pouch

d. The chance for eventual continence is greater when the rectum has descended to below thelevator ani muscles

e. Immediate definitive repair of the anatomic defect is required to masimize the chance of

eventual continence

4. After complete removal of a sessile polyp of 2.0*1.5 cm found one fingerlength above the anal

mucocutaneous margin, the pathologist reports it to have been a villous adenoma that contained

carcinoma in situ. You would recommend that this patient undergo

a. Reexcision of the biopsy site with wider margins

b. Abdominoperineal rectosigmoid resection

c. Anterior resection of the rectum

d. External radiation therapy to the rectum

e. No further therapy

5.In planning the management of a 2.8-cm epidermoid carcinoma of the anus,the first therapeutic

approach should be

a. Abdominoperineal resection

b. Wide local resection with bilateral inguinal node dissection

c. Local radiation therapy

d. Systemic chemotherapy

e. Combined radiation therapy and chemotherapy

6.Operative planning and preoperative counseling for a patient with a rectal carcinoma can be bestprovided if the patient is staged before surgery by

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a. Rigid proctoscopy

b. Barium enema

c. MRI of the pelvis

d. CT scanning of the pelvis

e. Rectal endosonography7.Correct statements regarding rectal carcinoid tumors include

a. Endoscopic resection is sufficient for tumors smaller than 2 cm

b. Patients frequently present with the carcinoid syndrome

c. They are rapidly growing tumors

d. Local recurrence is rare with complete resection of the primary lesion

e. They can develop the carcinoid syndrome even in the absence of liver metastases