A 35-year-old woman comes in with a complaint of difficulty swallowing that has been ongoing for the past year. Her dysphagia affects both solids and has been gradually getting worse. Additionally, she has experienced multiple instances of her fingers turning purple when exposed to cold temperatures. Upon examination, her fingers appear swollen and the skin over them is thickened. Telangiectasias are also present.
What is the SINGLE most probable diagnosis?
A 40-year-old woman who is currently experiencing a high level of stress comes in with abdominal pain. The pain intensifies at night but subsides when she gets up to have a glass of milk. The pain has gotten worse over the past few days, and she has had two instances of vomiting blood this morning.
What is the SINGLE most probable diagnosis?
A 60-year-old man comes to the clinic complaining of abdominal pain. He has a past medical history of a duodenal ulcer. During his visit, he experiences two episodes of vomiting blood.
Which blood vessel is most likely to be involved?
A 45 year old male presents to the emergency department with intermittent abdominal pain over the past few weeks that has worsened in the last week. The patient reports that the pain is most severe at night and is relieved by eating, although the relief is only temporary. The patient provides a list of their current medications:
Medication & dose
Fluoxetine 40 mg once daily (long term)
Oxybutynin 5 mg twice daily (long term)
Ibuprofen 400 mg three times daily as needed (long term)
Prednisolone 30mg for 7 days
Amoxicillin 500 mg three times daily for 7 days
You suspect the patient may have a duodenal ulcer. Which medication is most commonly associated with the development of peptic ulcer disease?
A 42-year-old woman with a long-standing history of ulcerative colitis presents with a fever, itching, and yellowing of the skin. An ERCP is scheduled, which reveals a characteristic beads-on-a-string appearance.
What is the SINGLE most probable diagnosis?
A 25-year-old woman with inflammatory bowel disease (IBD) presents with a condition associated with IBD.
Which of the following conditions is NOT linked to Crohn’s disease?
A 35-year-old construction worker presents with hematemesis. He consumed excessive alcohol with his colleagues the previous night and began vomiting towards the end of the evening. After forcefully retching and vomiting multiple times, he observed traces of blood in his vomit. He vomited once again this morning and is extremely worried as there was still blood present.
What is the SINGLE most probable diagnosis?
A 32-year-old individual presents to the emergency department with complaints of intermittent abdominal pain over the past 6 weeks, which appears to be worsening. The patient reports that eating food partially relieves the pain, but it returns to its worst state after 2-3 hours. Additionally, the pain is particularly severe at night. The patient has attempted using over-the-counter pain relievers but found them to be ineffective. Based on these symptoms, what is the primary cause of duodenal ulcers?
A 45 year old male comes to the emergency department with a two day history of nausea, vomiting, and upper abdominal pain. The patient vomits during triage and examination reveals coffee ground vomit. You determine that a risk assessment is necessary due to the evidence of an upper gastrointestinal bleed. Which risk assessment should be used as the initial assessment for patients who present with acute upper gastrointestinal bleeding?
A 2-year-old girl presents with vomiting and diarrhea due to viral gastroenteritis. Upon examination, she is found to be mildly dehydrated. You suggest treating her with oral rehydration therapy (ORT).
Which SINGLE statement regarding the use of ORT in the management of gastroenteritis is FALSE?