Abscess & Fistula — Part 1: Understanding the Basics

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Q1: What is a perineal abscess?

A. Skin condition caused by poor hygiene

B. Cancerous tumor

C. Collection of pus near the anus

D. Inflamed hemorrhoid

Q2: What are the typical symptoms of an abscess?

A. Dysuria

B. Painless bleeding

C. Itching

D. Pain, swelling, redness.

Q3: Can it be treated with antibiotics?

A. Yes, always

B. Warm compresses for 1 week

C. Surgical drainage is required

D. Yes, in the first hour

Q4: Is it urgent?

A. This must be addressed immediately.

B. Wait 15 days

C. Diabetes only

D. Only if it is very large

Q5: What is an anal fistula?

A. Abnormal communication of the anal canal

B. Cancer

C. Αλλο όνομα αιμορροΐδων

D. Skin fissure

Q6: What percentage of abscesses are caused by a fistula?

A. Men only

B. Men only

C. <1%

D. 100%

Q7: Typical signs of a fistula?

A. Discharge from the anus

B. Bleeding during defecation

C. Numbness in the anus

D. Constipation/bloating

Q8: An abscess was drained 3 months ago; the wound has closed, but a small opening is oozing fluid. What is it?

A. New abscess

B. Normal healing

C. The fistula remained

D. The surgery failed

Q9: What is the role of transrectal ultrasound?

A. Excellent diagnosis and mapping

B. Replaces the clinical examination

C. Heals using sound waves

D. Disappointing results

Q10: Why is mapping important?

A. Before the procedure, assess the relationship between the sphincters and the fistula opening

B. It was significant before the administration of antibiotics

C. Same as the clinical examination

D. This must always be done postoperatively

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