kiranmayi
Forum Guru
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A 47-year-old African American male presents for follow-up for depression. He denies improvement after eight weeks of sertraline with good compliance. His smoking has increased to three packs per day, up from two packs per day for 30 years. He admits to intermittent back pain, incapacitating pruritus, and a 30-pound weight loss. Umbilical tenderness and a distended gallbladder are noted on physical examination. Which of the following is the most likely to be true in this case?
A. The pancreatic head is the origination site of the patient's pancreatic carcinoma.
B. No association has been made between cigarette smoking and pancreatic carcinoma.
C. The patient's tumor represents the malignant transformation of exocrine cells.
D. The patient's gallbladder distention is due to choledocholelithiasis from elevated cholesterol nucleation.
E. Lifespan has been improved to greater than 10 years with current chemotherapy regimens.
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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A...LOOKS LIKE CURVOIUSER'S LAW....I GUESS
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| drmka
Forum Junior
Topics: 1
Posts: 59
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i am pretty sure its a,but i have doubts about B....
The most common site that pc ca arises head of pancreas,jaundice,pruritus and distand gallbladder make me choose a...Endocrine ca of pancreas is rare.so it could be B...
i have to check out Robbins...
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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Iam also sure A 
Read about courviouser's law..
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| krsma
Forum Elite
Topics: 40
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what courviouser's law ? I never heard of it! :?: :icon_scratch:
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| peekay
Forum Guru
Topics: 102
Posts: 588
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i go with D. I believe choledocholithiasis is causing mixed s&s.
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| kiranmayi
Forum Guru
Topics: 237
Posts: 407
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Answer is A. The pancreatic head is the origination site of the patient's pancreatic carcinoma.
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