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Am Fam Physician. 2002 Apr 15;65(8):1522.

Question 7 of the “Clinical Quiz” (July 1,2001, page 31), pertaining to the article “Common Anorectal Conditions: Part II. Lesions,” was not clearly worded. Answer choice B should also be a correct response because topical diltiazem is helpful in the treatment of chronic fissures. The corrected question is printed below; the correct answers are B, C, and D.

Q7. Which of the following statements about the treatment of anal fissures is/are correct?

  • A. Lateral sphincterotomy incises fibers of the external sphincter.

  • B. Chronic fissures respond well to topical therapy.

  • C. Nitroglycerin therapy may be complicated by headache.

  • D. Topical nifedipine may successfully heal acute fissures.


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