Haemorrhoids MCQ Quiz | Anorectal

Welcome to this specialized multiple-choice quiz on Haemorrhoids, designed for MBBS students preparing for their Anorectal module. This quiz covers essential topics including anatomy, pathophysiology, classification, clinical features, and the latest management strategies for haemorrhoidal disease. Test your understanding of Goligher’s classification, the sliding anal canal theory, and key differences between various treatment modalities from conservative approaches to surgical interventions like Milligan-Morgan and Ferguson techniques. This assessment will help you solidify your knowledge and prepare for examinations. After completing the quiz and submitting your answers, you will receive your score and have the option to download all the questions along with their correct answers in a convenient PDF format for your future revision.

1. Which artery is the primary blood supply to the anal cushions?

2. According to Goligher’s classification, which grade of internal haemorrhoids prolapses on straining but reduces spontaneously?

3. The most widely accepted theory for the development of haemorrhoids is:

4. The most common symptom of internal haemorrhoids is:

5. The dentate line’s separation of visceral from somatic innervation explains why:

6. The definitive diagnostic procedure for internal haemorrhoids is:

7. Rubber band ligation is generally indicated for which grades of internal haemorrhoids?

8. Milligan-Morgan haemorrhoidectomy is an example of which type of procedure?

9. A patient presents with an acutely painful, tender, bluish lump at the anal verge. The most likely diagnosis is:

10. Which of the following is NOT a standard component of conservative management for haemorrhoids?

11. The anal cushions are typically located in which positions in the lithotomy position?

12. Painful rectal bleeding is more characteristic of which condition rather than uncomplicated internal haemorrhoids?

13. Sclerotherapy for haemorrhoids involves injecting a sclerosant into which layer?

14. Irreducible, prolapsed internal haemorrhoids are classified as:

15. A significant long-term complication of an extensive haemorrhoidectomy is:

16. What is the primary mechanism of action for flavonoids (like Daflon) in the management of haemorrhoids?

17. What is the preferred initial management for symptomatic haemorrhoids during pregnancy?

18. Stapled Haemorrhoidopexy (PPH) primarily addresses which issue?

19. Venous drainage above the dentate line is primarily to the portal system via the:

20. A 45-year-old man describes a feeling of incomplete evacuation and a lump that he has to manually push back into the anal canal after defecation. This is most consistent with:

21. A major contraindication for rubber band ligation is:

22. Chronic straining leads to the deterioration of which supporting structure, contributing to haemorrhoidal prolapse?

23. Infrared coagulation is a treatment option for haemorrhoids that works by:

24. Which feature is characteristic of external haemorrhoids but NOT internal haemorrhoids?

25. The Ferguson technique for haemorrhoidectomy differs from the Milligan-Morgan technique in that it: