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General Surgery · Anorectal conditions
Sample itemWhat feature is characteristic of anal fissure?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Pain with defecation
The key Anorectal conditions principle supports Pain with defecation; this option most directly explains the clinical pattern, diagnostic priority, or initial management principle given in the stem.
Option by option
A. Hearing loss
Hearing loss has a different clinical context and is not the best answer here.
B. Pain with defecation (correct)
Correct. Pain with defecation is directly supported by the key information.
C. Painless jaundice
Painless jaundice does not match the stated anorectal conditions feature.
D. Shoulder pain
Shoulder pain does not address the diagnosis or priority 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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