Burning Pain in Surgery — 25yo Man | General Surgery | SMLE Q#12132
SMLE Question #12132
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 25-year-old man has 3 days of severe sharp anal pain during defecation with burning pain for 1–2 hours afterward. He reports constipation with straining and a small streak of bright red blood on wiping. Digital rectal examination and proctoscopy cannot be tolerated because of pain; external inspection suggests a tender linear tear at the posterior midline. What is the most appropriate next step in management?
Continue in practice mode
Sign in and start a focused practice session to view options, submit your answer, and read the full explanation.