Chapter 28: Specialty Examination and Procedures: Colon Procedures, Male Reproductive Health, Radiology and Diagnostic Imaging

Which of the following conditions may cause blood in the stool?

All of the above (hemorrhoids, diverticulosis, colorectal cancer, polyps)

What is the appearance of stool exhibiting melena?

black and tarlike

What is occult blood?

blood that is not visible

Which of the following may result in a false-positive test result on a fecal occult guaiac blood test?

all of the following (taking aspirin, eating red meat, eating foods containing peroxidase, performing the test during a menstrual period)

Why must the patient consume a high fiber diet before fetal occult guaiac blood testing?

to encourage bleeding from intestinal lesions

All of the following medications must be discontinued before and during fecal occult guaiac blood testing except:

antihistamines

Patient instruction for the fecal occult guaiac slide test include:

all of the above (begin the diet modifications 3 days before collecting the first stool specimen, store slides at room temperature, protect slides from heat and sunlight, collect a sample from two different parts of each stool specimen)

Any trace of blue appearing on or at the edge of the fecal smear on a guaiac slide test is interpreted as:

positive

Which of the following tests may be performed if the fecal occult blood test result is positive?

colonoscopy

The purpose of sigmoidoscopy is to detect the presence of:

all of the above (lesions, fissures, polyps, hemorrhoids)

What type of bowel preparation may be required before a sigmoidoscopy?

all of the above (taking a laxative the day before the examination, performing a cleansing enema the evening before the examination, eating a light, low residue meal on the evening before the examination, performing a cleansing enema on the morning of the examination)

Which of the following positions is used for flexible fiberoptic sigmoidoscopy?

Sims

Which of the following is not a responsibility of the MA during a sigmoidoscopy?

insufflating air into the colon

When the physician is finished with the sigmoidoscopy, it should be:

sanitized and disinfected

The function of the prostate gland is to:

secrete fluid that transports sperm

All of the following are symptoms of prostate cancer except:

Thick, yellow discharge from the penis

According to the American Cancer Society, prostate screening should be performed:

Once a year for men older than 50

A normal prostate gland feels:

soft

The normal range for a prostate specific antigen test is:

0 to 4 ng/ml

Which of the following increases the prostate specific antigen level?

vigorous exercise

All of the following may be ordered if the prostate specific antigen level is elevated except:

double contrast barium enema radiographic examination

Testicular cancer occurs most commonly:

between ages 15 and 34

All of the following are risk factors for testicular cancer except:

being an African American male

What should a testicular self examination be performed?

after taking a warm shower

The most common sign of testicular cancer is:

a small, hard, painless lump