06-09-2012, 01:40 PM
2. A 56-year-old man with alcoholism comes to the physician because of a 2-month history of increasingly severe stomach pain and increased volumes offoul-smelling
stool; he also has had a 9-kg (20..Jb) weight loss during th is period. He has a history of multip le visits to the emergency department because of severe abdominal pain.
He has consumed one bottle of red wine daily for 5 years. His temperature is 37"C (98.6"F). Physical examination shows epigastric tendemess. His fasting serum
glucose concentration is 150 mgfdL. A CT scan of the abdomen shows pancreatic calcifications. The most likely cause of th is patienfs current symptoms is a decrease
in which of the fo llowing?
o A) Bile acid synthesis
o B) Colonic bacteria
o C) Duodenal pH
o D) Fecal elastase
o E) 7a-Hydroxylase activity
stool; he also has had a 9-kg (20..Jb) weight loss during th is period. He has a history of multip le visits to the emergency department because of severe abdominal pain.
He has consumed one bottle of red wine daily for 5 years. His temperature is 37"C (98.6"F). Physical examination shows epigastric tendemess. His fasting serum
glucose concentration is 150 mgfdL. A CT scan of the abdomen shows pancreatic calcifications. The most likely cause of th is patienfs current symptoms is a decrease
in which of the fo llowing?
o A) Bile acid synthesis
o B) Colonic bacteria
o C) Duodenal pH
o D) Fecal elastase
o E) 7a-Hydroxylase activity