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a) Prolapsed hemorrhoids
b) Rectal prolapse
c) Villous adenoma
d) Rectal cancer
e) Anal cancer
f) Don't Know

2. To manage this patient you should:

a) Admit the patient for bowel preparation with colonoscopy in the morning
b) Biopsy the mass with further management to be determined by the histology obtained
c) Divide the stalk through the anus
d) Attempted reduction under general anesthesia in the operating room, with abdominal exploration if the mass cannot be reduced
e) Transanal resection with laparoscopic control
f) Don't Know

3. What preoperative evaluation is imperative prior to taking the patient to the operating room?

a) CT scan of the abdomen
b) Chest X-ray
c) Serum electrolytes
d) Liver function tests
e) Biopsy of the mass
f) Don't Know

4. In the operating room you are unable to reduce the mass. What is the most appropriate operative intervention at this point?

a) Rectosigmoid resection
b) Sigmoid resection with 10 cm margins above and below the base of the stalk
c) Transanal Resection
d) Colotomy with amputation of the polyp at its base.
e) Diverting colostomy
f) Don't Know

5. Pathologic evaluation of the specimen removed shows 4/22 lymph nodes involved with carcinoma. At this point the following recommendation should be made:

a) Postoperative radiation therapy
b) Postoperative chemotherapy
c) Postoperative radiation and chemotherapy
d) No further therapy unless symptoms develop
e) Postoperative BCG
f) Don't Know