Colorectal disorders Smarty PANCE Study guides, Class notes & Summaries
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Colorectal disorders (PEARLS) Smarty PANCE (Latest 2023 / 2024) Actual Questions and Answers 100% Correct
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Colorectal disorders (PEARLS) Smarty PANCE 
(Latest 2023 / 2024) Actual Questions and Answers 100% Correct 
 
1. A 45 year old female presents with painful defecation, pruritus of the anusand occasional 
blood.What is your diagnosis? 
Answer: Internal hemorrhoids 
2. Significant *rectal pain, and pruritus but no bleeding*. Affects the lower 1/3of anus (below 
dentate line) 
Answer: External hemorrhoids 
3. A 55-year-old patient with *rectal bleeding and tenesmus* (a feeling of incomplete 
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