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Kaplan Qbank USMLE



Author14 Posts
  #1

A woman wakes up at night with brief episodes of epigastric pain 2 months after delivery of her 2ed child. The best investigation to prove the diagnosis would be?

A. Barium meal
B. Oral cholecystogram
C. FBE
D. Endoscopy
E. Ultrasound of the upper abdomen

  #2

whats FBE?

  #3

FBE- full blood examination.

Other abbreviation
FBC- full blood count
TBC- total blood count

  #4

barium meal?

  #5

endoscopy ?

  #6

B?

  #7

E???????????

___________________
hi how r u

  #8

E....

  #9

I think it is E.....

  #10

I think it E too........

___________________
EDUALYEGUE

  #11

usg is the first diag. method of course but don't think enough to prove it

  #12

Endoscopy?

  #13

manal can u tell us the answer

___________________
hi how r u

  #14

The answer is A
Night episodic pain indicator of peptic/duodenal ulcer…

A diagnosis of peptic ulcers can be suspected from the patient's medical history. However, the diagnosis should always be confirmed either by an upper intestinal Endoscopy (but not US), which allows direct examination of the ulcer or by a barium x-ray of the stomach.

Endoscopy is indicated in patients with refractory symptoms or alarm symptoms. These include:
- age < 60
- severe nausea or vomiting
- weight loss
- early satiety
- evidence of GI bleeding
- dysphagia or odynophygia

in this question there is no mention of any of the alarm symptoms…

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