A 25 year old woman is 2 weeks post-partum by Dr. Laurence Bailen

Question 13 / 27: A 25 year old woman is 2 weeks post-partum after an uncomplicated vaginal delivery. She was

constipated during her pregnancy requiring the use of laxatives and bulk forming agents. She

comes to the emergency room with the acute onset of bright red blood per rectum. She has no pain

when moving her bowels and denies any pain in the anal area. She has no fever.

Which of the following would you most likely expect to see on anoscopy or flexible

sigmoidoscopy?

A Posterior anal fissure

B Perianal abscess

C Second degree internal hemorrhoids

D Intersphincteric fistula

E Trans-sphincteric fistula

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Gastrointestinal Pathophysiology Exam 2005

Author:

Dr.Laurence BailenProfessor

Tufts University School of Medicine

USA

Access: Public Instant Grading

Attribution: Laurence Scott Bailen, Tamsin Knox, Paul Abourjaily, Fredric D. Gordon,Marshall Kaplan,Andrew G. Plaut. PPY 222 Gastrointestinal Pathophysiology, Spring 2007. (Tufts University OpenCourseWare), http://ocw.tufts.edu/Course/47 (Accessed 3 May, 2014). License: Creative Commons BY-NC-SA

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