2016 NWSCRS Self-Assessment Test for Thursday
Can be difficult to differentiate from internal hemorrhoids
Always treated surgically
Can only be treated by abdominal approach
Can only be treated ny perineal approach
Immediately, prior to medical treatment
Failure to improve and/or persistent symptoms after short-term high dose steroids
Single stricture disease
During acute inflammatory phase
Age of the patient
Local invasion to surrounding structures
High tumor grade
Metastasis to regional nodes
Primary closure
VRAM flap
Gracilis Flap
VAC dressing
Estrogen
Progesterone
Insulin-Like Growth Factor
Thyroxine
1-2 weeks following treatment
4-6 weeks following treatment
8-10 weeks following treatment
>12 weeks following treatment
Suprasphincteric
Intersphincteric
Transsphincteric
Anovaginal
Thickness of flap tissue
Avoiding tension of tissue used for flap
Use of a narrow based flap
Blood supply to the flap
Hemorroidectomy
Colonoscopy
Follow up in 6 months
None of the above
One internal hemorrhoid at a time
Up to 3 internal hemorrhoids at a time
As many internal hemorrhoids as may be symptomatic
As many internal and external components as may be symptomatic
Dose response
High risk of bias
Large treatment effect
Presence of plausible cofounders
Assess risk of bias
Estimate of effect
Formulate a question using PICO
Summary of the evidence
An algorithmic approach to surgery
Guidance in all circumstances for patients
A legal resource
Improving specific health care outcomes
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