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* nbme q4
 #139231  
  santabanta - 11/17/06 00:45
 
  THE FOLL VIGNETTE APPLIES TO THE NEXT 2 ITEMS.

A 28 YR OLD MAN LIVES IN A SMALL RURAL TOWNSHIP IS ADMITTED TO THE HOSPITAL BECAZ OF GASTROINTESTIANL BLEEDING. ON ADMISSION THE PATIENT IS PALE AND HAS ORTHOSTATIC HYPOTENSION. HEMOGLOBIN CONCENTRATION IS 8 G/DL. HIS CONDITION IS STABILIZED. EMERGENT UPPER ENDOSCOPY SHOWS A VISIBLE GASTRIC VESSEL, WHICH IS TREATED APPROPRIATELY.

ITEM 1 OF 2
SPECIFIC ADDITIONAL HISTORY SHOULD BE OBTAINED REGARDING WHICH OF THE FOLL?

A. CONSUMPTION OF ALCOHOLIC BEVERAGES
B. FAMILY HISTORY OF CANER
C. SOURCE OF DRINKING WATER
D. TRAVEL HISTORY
E. USE OF TOBOCCO PRODUCTS

ITEM 2 OF 2
WHICH OF THE FOLL IS THE MOST APPROPRIATE LAB STUDY?

A. ANTIBODIES FOR HELICOBACTER PYLORI
B. VITAMIN B12 (CYANOCOBALAMIN) CONCENTRATION
C. FERRITIN CONCENTRATION
D. GASTRIC CONCENTRATION
E. IRON CONCENTRATION
 
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* Re:nbme q4
#561810
  humerus - 11/17/06 00:53
 
  a alcohol use for gastric ulcer

b a h pylori
 
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* Re:nbme q4
#561827
  yuvraj1001 - 11/17/06 01:13
 
  i agree A & A is the choice  
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* Re:nbme q4
#562143
  pedres - 11/17/06 10:28
 
  a and a  
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* Re:nbme q4
#562152
  chinni - 11/17/06 10:30
 
  1)a
2)a
 
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* Re:nbme q4
#562542
  benign1998 - 11/17/06 14:32
 
  a
a
 
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* Re:nbme q4
#562547
  klebsiella - 11/17/06 14:34
 
  Answer A and Answer A  
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* Re:nbme q4
#562956
  tea - 11/17/06 17:40
 
  why not b in q2 if bleeding due to alcoholic? thanks  
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