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General Surgery · Colorectal: fissure
Sample itemTearing pain on defecation with posterior midline tear suggests what?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Anal fissure
This item reviews Colorectal: fissure; Anal fissure is the best answer because it directly fits the pattern in the stem.
Option by option
A. Hemorrhoids only
Hemorrhoids only does not account for the core presentation.
B. Pilonidal disease
Pilonidal disease is not supported by the stated findings.
C. Fistula only
Fistula only is plausible but is not the best fit here.
D. Anal fissure (correct)
Correct. Anal fissure matches the key feature described.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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