Amedco - Quiz

April 2014 JPGN Quiz


A   - Anal fissures
B   - Suspicion of Hirschsprung disease
C   - Suspicion of fecal outlet obstruction

A   - Rectal compliance and maximal rectal volume
B   - Pelvic floor descent and puborectalis muscle relaxation
C   - Anal sphincter baseline pressure and recto?anal inhibitory reflex
D   - First sensation and urgency volumes
E   - Rectal pressure increase and anal canal decrease during beardown

A   - Increased anal sphincter pressure initially, then a decreased pressure
B   - Blunting of the recto?anal inhibitory reflex
C   - Decreased anal sphincter pressure
D   - No change of tone
E   - Increased external sphincter pressure and decreased internal sphincter pressure

A   - Instillation of anal Botulinum toxin for anal achalasia
B   - Behavior modification to relax canal pressures
C   - Use of stool softeners/stimulants
D   - Dietary modification
E   - Surgical Internal sphincter myomectomy

A   - Re?test without the use of anesthesia to avoid confounding results
B   - Anal pull?through surgery with transoperative biopsies for mapping
C   - Intranal Botulinum toxin

A   - anti?liver kidney microsomal antibody
B   - anti?mitochondrial antibody

A   - extra?hepatic autoimmune disorders are present in 40?50% of relatives (including first, second and third degree relatives)
B   - there is a high prevalence of ankylosing spondylitis
C   - there is frequent familial clustering of autoimmune liver disease
D   - autoimmune disorders are rarely observed

A   - positivity for anti?liver kidney microsomal antibody
B   - bile duct abnormalities on cholangiography

B   - ANA/anti?SLA
C   - SMA/anti?LC?1