what to do
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44. A 32-year-old woman who is an editor for a publishing company comes to the physician because of intermittent diarrhea for the past 10 years, which occurs three to four times per year, lasts 2 to 4 days, and is associated with deadlines at work. During these episodes, the stool is loose and contains no melena or bright blood. Between episodes of diarrhea, she occasionally has one bowel movement every 4 to 7 days; the stool is hard and "pellet-like." She drinks one glass of wine daily. Physical examination shows no abnormalities. Laboratory studies show:
Hemoglobin 14.3 g/dL
Hematocrit 43%
Leukocyte count 8100/mm3
Erythrocyte sedimentation rate (Westergren) 7 mm/h
Which of the following is the most likely diagnosis?
A ) Crohn's disease
B ) Colon cancer
C ) Diverticulitis
D ) Irritable bowel syndrome
E ) Small bowel lymphoma
F ) Ulcerative colitis
46. A 63-year-old woman has pain in the back. An x-ray film of the spine shows a vertebral compression fracture. Measurement of bone mineral density is markedly below the reference range. Serum concentrations of calcium, phosphorus, albumin, and creatinine, and activity of alkaline phosphatase are all within the reference range. Urine calcium and protein concentrations are normal. The most likely diagnosis is
A ) Fanconi's syndrome
B ) hyperparathyroidism
C ) osteitis deformans (Paget's disease)
D ) osteomalacia
E ) osteoporosis
sorry for annoying you guys with most of the qs of nbme, but iahve to know my position, my mistakes, each and everyone
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saif
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| bangledoc
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44)D
46)E
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| hasan82
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44.D
46.E
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| what to do
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thanx guys
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saif
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