will try my best Forum Guru
Topics: 48 Posts: 523
| | 07/09/08 - 03:19 PM  
 
   
 
|   #1 |
12. A 77-year-old woman is brought to the emergency department after collapsing at home. Six hours ago, she had the sudden onset of massive bright red rectal bleeding. On arrival, her blood pressure is 90/60 mm Hg, and pulse is 120/min. Abdominal examination shows no abnormalities. Insertion of a nasogastric tube yields clear aspirate. Her hematocrit is 28%. Which of the following is the most likely diagnosis? A ) Colon cancer B ) Diverticulosis C ) Duodenal ulcer D ) Hemorrhoids E ) Inflammatory bowel disease A or B?
___________________ 99/99/cs passed/96/2007 grad/need visa/no USCE/no USLOR/no research
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| will try my best Forum Guru
Topics: 48 Posts: 523
| | 07/09/08 - 03:24 PM  
 
   
 
|   #2 |
21. A previously healthy 85-year-old man has had abdominal distention, decreased caliber of stools, and decreased appetite over the past 2 weeks and a 9-kg (20-lb) weight loss over the past 3 months. On sigmoidoscopy, he is found to have a constricting adenocarcinoma of the sigmoid colon; imaging studies show three 1-cm metastases to the liver. Which of the following is the most appropriate next step in management? A ) No treatment B ) Radiation therapy C ) Chemotherapy D ) Combination radiation therapy and chemotherapy E ) Resection of the colon tumor
___________________ 99/99/cs passed/96/2007 grad/need visa/no USCE/no USLOR/no research
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| will try my best Forum Guru
Topics: 48 Posts: 523
| | 07/09/08 - 03:26 PM  
 
   
 
|   #3 |
Can you get a normal CT scan in Herpes encephalitis?
___________________ 99/99/cs passed/96/2007 grad/need visa/no USCE/no USLOR/no research
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| WaqasQureshi Forum Senior
Topics: 5 Posts: 178
| | 07/11/08 - 12:29 AM  
 
   
 
|   #4 |
for first. the most common cause of Bright red blood per rectum after age of 65 is DIVERTICULOSIS second is angiodysplasia
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| WaqasQureshi Forum Senior
Topics: 5 Posts: 178
| | 07/11/08 - 12:30 AM  
 
   
 
|   #5 |
for second question: for a large tumor with or without mets. We have to give neoadjuvant therapy which consists of radio and chemo (option D)
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| WaqasQureshi Forum Senior
Topics: 5 Posts: 178
| | 07/11/08 - 12:31 AM  
 
   
 
|   #6 |
we give oxplatinum with 5-FU in Pakistan
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| drms Forum Guru

Topics: 14 Posts: 947
| | 07/11/08 - 06:34 AM  
 
   
 
|   #7 |
B D Normal CT: YES
___________________ “It is a funny thing about life; if you refuse to accept anything but the best, you very often get it.”
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| will try my best Forum Guru
Topics: 48 Posts: 523
| | 07/11/08 - 08:19 AM  
 
   
 
|   #8 |
Thanks DRMS and Waqas Quereshi
___________________ 99/99/cs passed/96/2007 grad/need visa/no USCE/no USLOR/no research
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| Tuscani Forum Guru

Topics: 48 Posts: 483
| | 07/23/08 - 12:56 AM  
 
   
 
|   #9 |
why not resection of the colon tumor first?
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