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Author9 Posts
  #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

  #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

  #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

  #4

for first. the most common cause of Bright red blood per rectum after age of 65 is DIVERTICULOSIS second is angiodysplasia




  #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)




  #6

we give oxplatinum with 5-FU in Pakistan


  #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.”

  #8

Thanks DRMS and Waqas Quereshi


___________________
99/99/cs passed/96/2007 grad/need visa/no USCE/no USLOR/no research

  #9

why not resection of the colon tumor first?







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