FCEM2-0699
You assess a patient who has had ulcerative colitis for 10 years and is anxious about the potential risk of developing colon cancer.
Category: Gastroenterology & Hepatology
FCEM2-0700
You assess a patient with a past medical history of ulcerative colitis. She expresses significant worry about the potential risk of developing colon cancer due to her condition.
Which ONE statement accurately addresses this concern?
FCEM2-0693
A 40-year-old man comes in with abdominal cramps and severe bloody diarrhoea due to a gastrointestinal infection.
What is the MOST LIKELY single causative organism?
FCEM2-0694
A 65 year old male is brought into the emergency department by his concerned daughter. The patient has become increasingly confused and disoriented over the past week. Of note, the patient has a history of alcohol dependence and is currently being treated by the gastroenterologists for liver cirrhosis. The patient’s daughter informs you that her father stopped drinking 10 months ago. The patient had complained of frequent urination and painful urination the day before his symptoms started.
You suspect the possibility of hepatic encephalopathy. Which of the following medications would be most appropriate to administer to this patient?
FCEM2-0683
A 5 year old girl is brought into the emergency department with a two day history of sudden onset loose watery stools accompanied by abdominal cramps and vomiting. Your consultant inquires about any indications of hypernatraemic dehydration.
Which of the following signs or symptoms are linked to hypernatraemia?
FCEM2-0684
A 38-year-old individual is brought into the emergency department by concerned friends. They inform you that the person is a heavy drinker and they frequently witness them intoxicated. However, today the patient was unable to maintain their balance and appeared extremely disoriented. Upon examination, the patient displays an unsteady gait and you observe limited lateral eye movements. You suspect that the patient may have Wernicke’s encephalopathy and is displaying Wernicke’s triad. What percentage of patients presenting with Wernicke’s encephalopathy will exhibit this triad of symptoms?
FCEM2-0685
You are requested to evaluate a 32-year-old male patient who has undergone an initial evaluation by one of the medical students. The medical student suspects that the patient may have irritable bowel syndrome (IBS). Which of the subsequent clinical characteristics is atypical for IBS and would raise concerns about a potentially more severe underlying condition in this patient?
FCEM2-0686
A 35-year-old woman presents to the emergency department with a two-week history of increasing abdominal swelling and discomfort. Over the past few days, she has also been experiencing nausea. The patient has no regular medications and no significant medical history. Upon examination, abdominal distension with shifting dullness to percussion and a demonstrable fluid wave are noted. After discussing the findings with your consultant, it is suggested to perform paracentesis and calculate the serum ascites albumin gradient (SAAG).
The SAAG is calculated as 1.3 g/dL (13g/L). Which underlying cause is most consistent with this finding?
FCEM2-0687
A 35 year old male intravenous drug user who frequently visits the emergency department presents with abdominal pain. Upon examination, the patient exhibits clinical signs of jaundice. The patient reveals that he was diagnosed with hepatitis B approximately 10 months ago but did not follow up on the recommended treatment. You decide to repeat his hepatitis serology.
What findings would be anticipated in a patient with chronic hepatitis B infection?
FCEM2-0688
A 32-year-old woman comes in with a history of urgency, bloody diarrhea, and crampy abdominal pain for the past 8 weeks. She occasionally experiences pain before having a bowel movement, but it is relieved once the stool is passed. A sigmoidoscopy is conducted, and a rectal biopsy reveals the presence of inflammatory cell infiltrate and crypt abscesses.
What is the SINGLE most probable diagnosis?