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+--- Thread: sugesstion needed - dr_usmle2012 (/showthread.php?tid=796072)
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0 - ArchivalUser - 02-25-2016
D. spontaneous bacterial peritonitis
0 - ArchivalUser - 02-25-2016
The correct answer is D
0 - ArchivalUser - 02-26-2016
A 67-year-old woman with peripheral vascular disease, bilateral leg claudication, and hypertension comes to the clinic because of nausea and severe, diffuse abdominal pain that she rates as 7/10 in intensity for the past 2 days. The pain is related to meals, particularly lunch. She has smoked a pack of cigarettes per day for the past 30 years. The patient has a temperature of 36.1 C/(97 F) with a pulse of 80/min and a blood pressure of 120/80 mm Hg. Abdominal examination demonstrates normal bowel sounds, no tenderness, and no hepatosplenomegaly. Laboratory studies reveal a leukocyte count of 4,000/mm3 and a hematocrit of 47%. You should be immediately suspicious of
A. acute appendicitis
B. acute cholecystitis
C. malingering
D. mesenteric ischemia
E. ulcerative colitis
0 - ArchivalUser - 02-27-2016
dd
0 - ArchivalUser - 02-28-2016
The correct answer is D
0 - ArchivalUser - 02-29-2016
A 55-year-old woman comes to the emergency department because of abdominal pain. She had just finished eating a steak dinner with her family when she suddenly experienced sharp, crampy pain in the upper right and middle of her abdomen. The pain has lasted for the past 3 hours and she is starting to feel nauseous. On physical examination, she is obese and in obvious discomfort. Her temperature is 38.8 C (101.8 F), blood pressure is 140/87 mm Hg, pulse is 90/min, and respirations are 16/min. Abdominal examination is significant for focal tenderness and guarding in her right upper quadrant. She is particularly tender when you palpate her right upper quadrant as she takes in a deep breath. The most appropriate next step in the evaluation of her abdominal pain is
A. an abdominal x-ray
B. a CT of the abdomen
C. an endoscopic retrograde cholangiopancreatography (ERCP)
D. serum liver function tests including bilirubin
E. an ultrasonography of the abdomen
0 - ArchivalUser - 02-29-2016
E acc to me
0 - ArchivalUser - 03-01-2016
Agree with E
0 - ArchivalUser - 03-01-2016
The correct answer is E
0 - ArchivalUser - 03-02-2016
A 17-year-old woman comes to the office complaining of a 3-month history of "crampy" abdominal pain along with alternating episodes of constipation and diarrhea. She reports that the pain has been worse recently since starting a new job, which she describes as "high stress." Pain also seems worse with eating fatty meals. Her temperature is 37.0 C (98.6F), blood pressure is 120/72 mm Hg, pulse is 63/min, and respirations are 10/min. Physical examination reveals a soft, non-tender, non-distended abdomen with normal bowel sounds and without organomegally. Her rectal exam reveals normal tone. The correct diagnosis would be supported by finding
A. a biopsy with transmural intestinal inflammation
B. fistula formation within the abdomen
C. a history of bloody diarrhea
D. a normal colonoscopy
E. positive H. pylori antibody titers