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Family Medicine EOR: Gastrointestinal and Nutritional (Smarty PANCE) Exam Test Questions with Answers Rated A
- Exam (elaborations) • 11 pages • 2025
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What is an anal fissure?: Tear or fissure in the anal epithelium 
2. What is the most common site?: Posterior midline (comparatively low blood 
flow) 
3. What is the cause?: Hard stool passage (constipation), hyperactive sphincter, 
disease process (e.g., Crohn's disease) 
4. What are the signs/symptoms?: Pain in the anus, painful (can be excruciating) 
bowel movement, rectal bleeding, blood on toilet tissue after bowel movement, 
sentinel tag, tear in the anal skin, extremely painful rectal ...
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