Duodenal ulcer with negative urea breath test
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Questions and Answers

What is the most likely cause of the patient's bleeding based on the physical examination findings?

  • Angiodysplasia (correct)
  • Meckel diverticulum
  • Small-vessel vasculitis
  • Hamartoma

Which condition is characterized by blood-streaked stool and conjunctival pallor?

  • Tubular adenoma
  • Ulcerative colitis (correct)
  • Hamartoma
  • Fibrosarcoma

What is the likely diagnosis for the 44-year-old man with the tender mass in the right buttock?

  • Liposarcoma
  • Rhabdomyoma
  • Lipoma
  • Desmoid tumor (correct)

What skin condition is characterized by bullae that rupture easily and lead to painful erosions?

<p>Bullous pemphigoid (A)</p> Signup and view all the answers

Which of the following conditions can present with painful sores in the mouth and skin lesions?

<p>Pemphigus vulgaris (C)</p> Signup and view all the answers

What histopathological feature is characteristic of the lesion in the right buttock of the 44-year-old man?

<p>Round clear cytoplasmic vacuoles scalloping the nucleus (D)</p> Signup and view all the answers

Which of the following best explains the negative urea breath test in a patient with a duodenal ulcer and Helicobacter pylori infection?

<p>Nonurease-producing H pylori infection (C)</p> Signup and view all the answers

Which of the following is the most likely cause of the 12-year-old boy's bloody stools?

<p>Inflammatory bowel disease (B)</p> Signup and view all the answers

What is the most appropriate initial diagnostic test to perform on the 12-year-old boy with bloody stools?

<p>Colonoscopy (D)</p> Signup and view all the answers

Which of the following is the most likely cause of the duodenal ulcer found in the patient with Helicobacter pylori infection?

<p>Long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) (D)</p> Signup and view all the answers

What is the most appropriate initial treatment for the patient with a duodenal ulcer and Helicobacter pylori infection?

<p>PPI and antibiotics (D)</p> Signup and view all the answers

Which brain structure is most likely responsible for the patient's postural tremor?

<p>Cerebellum (B)</p> Signup and view all the answers

What is the most likely diagnosis for the patient's episode of elated mood, poor sleep, and agitation?

<p>Bipolar disorder (A)</p> Signup and view all the answers

What is the significance of the patient's family history of mood disorder?

<p>It increases the risk of the patient developing a mood disorder (A)</p> Signup and view all the answers

What is the most likely cause of the patient's excessive thirst and dry mouth?

<p>Side effect of the treatment for the manic episode (C)</p> Signup and view all the answers

What is the significance of the patient's normal blood pressure and pulse?

<p>It suggests the patient's excessive thirst and dry mouth are not related to the manic episode (A)</p> Signup and view all the answers

What is the most appropriate next step in the management of this patient?

<p>Order additional laboratory tests to investigate the cause of the patient's excessive thirst and dry mouth (C)</p> Signup and view all the answers

What is the most likely cause of the patient's eye findings?

<p>Damage to the cervical ganglion (D)</p> Signup and view all the answers

Which of the following is the most likely cause of the patient's right hand clumsiness and weakness?

<p>Cervical radiculopathy (C)</p> Signup and view all the answers

What is the most likely cause of the patient's persistent cough?

<p>Chronic bronchitis (C)</p> Signup and view all the answers

What is the best initial step in managing the patient's alcohol use disorder?

<p>Prescribe benzodiazepines (B)</p> Signup and view all the answers

Which of the following is the most likely cause of the patient's blurred vision?

<p>Alcohol-related optic neuropathy (D)</p> Signup and view all the answers

What is the most appropriate next step in the management of this patient's right hand weakness and clumsiness?

<p>Refer the patient to a neurologist (A)</p> Signup and view all the answers

Which of the following locations is most likely to show immunoglobulin deposits in the histologic analysis of the patient's skin?

<p>Along the basement membrane (B)</p> Signup and view all the answers

What is the most likely cause of the infant's respiratory distress and the need for high ventilation pressures?

<p>Type 2 pneumocyte dysfunction (B)</p> Signup and view all the answers

Which of the following maternal conditions is most likely associated with the infant's condition?

<p>Poorly controlled diabetes mellitus (B)</p> Signup and view all the answers

What is the significance of the infant's birth weight of 4700 g (10 lb 6 oz)?

<p>It is indicative of macrosomia, which can be associated with maternal diabetes (D)</p> Signup and view all the answers

Which of the following is the most likely reason for the failed descent of the infant during labor?

<p>Fetal macrosomia (B)</p> Signup and view all the answers

What is the significance of the nasal flaring and intercostal retractions observed in the infant?

<p>They indicate respiratory distress (D)</p> Signup and view all the answers

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