USMLE forum
 
USMLE Forum
Step 1
Step 2 CK
Step 2 CS
Matching & Residency
Step 3
Classifieds
 
Archives
 
 
  <<   < *  Step 2 CK   *  >   >>  

* crohns
 #623394  
  nowckturn - 10/20/11 11:20
 
  A 37-year-old man comes to the physician 12 hours after the onset of vomiting and abdominal cramps and swelling. He has had constipation for the past 4 days. He was diagnosed with Crohn disease 7 years ago. His symptoms of diarrhea and right lower quadrant abdominal pain have been well controlled with mesalamine for the past 3 years. His temperature is 36C (96.8F), pulse is 98/min and regular, and blood pressure is 110/70 mm Hg. Examination shows a diffusely distended, tympanitic abdomen and visible peristalsis; high-pitched bowel sounds are heard. Rectal examination shows no stool in the rectal vault. An x-ray of the abdomen shows a small-bowel obstruction. Which of the following is the most likely cause of these findings?

A
) Colon cancer

B
) Ileocecal fistula

C
) Small-bowel adhesions

D
) Small-bowel fibrotic stricture

E
) Small-bowel intussusception
 
Report Abuse

 
 

* Re:crohns
#2505149
  pursuit - 10/20/11 11:24
 
  D
) Small-bowel fibrotic stricture
 
Report Abuse

* Re:crohns
#2505152
  rva - 10/20/11 11:26
 
  It looks dd  
Report Abuse

* Re:crohns
#2505153
  nowckturn - 10/20/11 11:27
 
  when u people r having exams?? rva n pursuit???
 
Report Abuse

* Re:crohns
#2505156
  rva - 10/20/11 11:29
 
  @nowckturn...still hve time fr exam....tell d answ  
Report Abuse

* Re:crohns
#2505157
  pursuit - 10/20/11 11:30
 
  within 5 months from now  
Report Abuse

* Re:crohns
#2505160
  nowckturn - 10/20/11 11:33
 
  go ahead... u r right  
Report Abuse

* Re:crohns
#2505852
  angeldust1 - 10/20/11 20:53
 
  hi ...the answer is D..i came across this Q in NBME 4...can anyone say why not small bowel adhesions?  
Report Abuse

* Re:crohns
#2506946
  drguirand - 10/21/11 21:14
 
  Small-bowel adhesions are gererally secondary to surgery  
Report Abuse

* Re:crohns
#2506977
  angeldust1 - 10/21/11 21:47
 
  @drguirand...adhesions re very much possible in crohns as well...please do look up...i think it's just the matter of which is more common...adhesions or stricture  
Report Abuse

* Re:crohns
#2507069
  raheem - 10/21/11 22:59
 
  adhesion usu. result from intraperitonial pathology like laparotomy of perforated viscous
with alot of secresions and leaks(peritonitis) and wash out procedure during surgery
*adhesions in crohn only occure following surgery of fistula(mostly failed surgery)which
lead to more intraperitoneal leakage and subsequent adhesion............good luck
 
Report Abuse

          Page 1 of 1          

[<<First]   [<Prev]  ... Message ...  [Next >]   [Last >>]

 
Logon to post a new Message/Reply
 
 
 
 

 

 

Google
  Web USMLEforum.com
 

Step 1 Step 2 CK Step 2 CS Matching & Residency Step 3 Classifieds
LoginUSMLE LinksHome