Sixth-MKSAP

Question 1

With the use of ___, ____, ____, Acute anal fissures can resolve within weeks

Answer 1

Sitz bath
Psyllium
Bulking agents

Question 2

What topical agents can be used for anal fissures?

Answer 2

Topical nitroglycerin
Topical calcium channel blocker

If continuous pain and bleed, consider topical anesthetics, topical anti-inflammatories

Question 3

Pathophysiology behind anal fissures?

Answer 3

Trauma due to passage of hard stool
Receptive anal intercourse
Foreign body insertion
Endoscope or enema

Question 4

Clinical presentation of anal fissure

Answer 4

Painful defecation

Question 5

___And___version of___medication is superior for induction of remission of ulcerative colitis compared with either of these versions of therapies alone

Answer 5

Oral, topical, 5-ASA
Amino salicylate