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APSNA BM Quiz
Travis Gallup
2026-07-21T20:42:25-05:00
QUIZ
Bowel Management Principles in Pediatric Patients: Diagnosis and Management
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1. The basic predictors of continence in a patient with anorectal malformations are type of malformation, quality of sacrum, and quality of their spine? True or False?
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True
False
2. A patient with a long channel cloaca has a better continence prognosis than a patient with a perineal fistula. True or False?
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True
False
3. A good prediction of continence includes all the following except:
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Perineal fistula
Rectourethral bladderneck fistula
Normal termination of the conus (L1-L2)
Sacral ratio greater than 0.7
4. The main predictors of bowel control in a patient with Hirschspung Disease are their dentate line, sphincters, motility, and length of colon. True or False?
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True
False
5. For a patient on a rectal enema program who’s X-ray shows a clean colon but the patient reports soiling, how should you adjust the flush?
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Increase amount of stimulant
Decrease amount of stimulant
Continue the same regimen
Increase amount of saline
6. Stool softeners irritate the lining of the bowel causing increased peristalsis versus stimulant laxatives which draw water into lumen of bowel but do not promote peristalsis. True or False?
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True
False
7. For a patient on a medication regimen who is having smearing, leakage, or incontinence what interventions would you consider to decrease these symptoms?
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Rule out stool accumulation on X-ray
Consider adding more fiber or bulk to the stools
Consider adding more stimulant laxative to promote a more effective emptying
All of the above
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