General Surgery Qualifying Examination (GSQE)

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Grade 2 hemorrhoids disease with prolapse and sporadic bleeding are present in a 45-year-old female with a known history of ileocolic Crohn's disease. Which of the following should be carried out before suggesting office-based or surgical treatment?

CT scan abdomen/pelvis Anal manometry Diverting loop ileostomy Flexible proctosigmoidoscopy

Correct Answer:

Flexible proctosigmoidoscopy

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