04-09-2007, 10:51 AM
A previously healthy 67-year-old woman is admitted to the hospital because of a 2-week history of dark urine, clay-colored stools, and increasing jaundice. She has had a 9-kg (20-lb) weight loss over the past 2 months due to loss of appetite. She also has had generalized itching that is most severe at night. She has not had any abdominal pain. Examination shows no abnormalities except for jaundice. Which of the following is the most likely diagnosis?
A ) Common bile duct stone
B ) Drug-induced jaundice
C ) Hemolytic jaundice
D ) Pancreatic carcinoma
E ) Viral hepatitis
A 13-year-old boy is brought to the physician by his mother because of frequent headaches over the past 5 weeks. He describes the headaches as dull pain across his forehead; they occur four to five times weekly. Acetaminophen does not relieve the pain. His mother states that occasionally he has nausea without vomiting. He has schizophrenia well controlled with risperidone. Physical examination shows no abnormalities. An MRI of the brain is most likely to show which of the following?
A ) Bilateral increased caudate nuclei
B ) Decreased cerebellar volume
C ) Hippocampal symmetry
D ) Increased lateral ventricle size
E ) Multiple white-matter hyperintensities
A ) Common bile duct stone
B ) Drug-induced jaundice
C ) Hemolytic jaundice
D ) Pancreatic carcinoma
E ) Viral hepatitis
A 13-year-old boy is brought to the physician by his mother because of frequent headaches over the past 5 weeks. He describes the headaches as dull pain across his forehead; they occur four to five times weekly. Acetaminophen does not relieve the pain. His mother states that occasionally he has nausea without vomiting. He has schizophrenia well controlled with risperidone. Physical examination shows no abnormalities. An MRI of the brain is most likely to show which of the following?
A ) Bilateral increased caudate nuclei
B ) Decreased cerebellar volume
C ) Hippocampal symmetry
D ) Increased lateral ventricle size
E ) Multiple white-matter hyperintensities