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</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</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</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</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</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</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)</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</p> Signup and view all the answers

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

    <p>Cerebellum</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</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</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</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</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</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</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</p> Signup and view all the answers

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

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

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

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

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