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Hemorrhoids — ABFM Board MCQ

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EasyGI/HepatologyHemorrhoidsABFM Board

A 46-year-old woman has bright red blood on toilet paper and itching after bowel movements. Examination reveals a tender external hemorrhoid and no abdominal pain or weight loss. Which of the following is the most appropriate initial treatment?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Increase fiber and fluids with topical symptom relief

Initial hemorrhoid management includes fiber, fluids, avoidance of straining, and symptomatic topical measures.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html