Sutures and Wound Repair/ General Surgery (ABSA) Practice Test

What is identified as a longitudinal ulcer in the anal canal?

1. Hemorrhoids

2. Fissure in ano

3. Anal abscess

4. Anal warts

The correct answer is: Fissure in ano

A longitudinal ulcer in the anal canal is specifically referred to as a fissure in ano, which is a painful tear or ulceration of the anal mucosa. This condition typically occurs in the distal portion of the anal canal and is characterized by its linear or longitudinal shape. Fissures are often associated with significant discomfort during and after bowel movements, sometimes leading to a cycle of sphincter spasm and further tearing. In contrast, hemorrhoids are swollen veins in the lower rectum or anus, which may cause discomfort, bleeding, or protrusion but do not usually present as a longitudinal ulcer. An anal abscess is a collection of pus resulting from an infection in the anal glands, which can cause localized pain and swelling but does not specifically indicate a linear ulceration. Finally, anal warts, caused by the human papillomavirus (HPV), appear as growths or lesions in the anal area but are not characterized as ulcers. Understanding the specific characteristics of these conditions is crucial for accurate diagnosis and treatment in surgical practice.