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  #1  
Old 09-12-2012
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Question test for 53-yr old woman

A 53-year-old woman comes to the physician for an annual examination. She has no complaints. She has hypertension, for which she takes a thiazide diuretic, but no other medical problems. Her past gynecologic history is significant for normal annual Pap tests for many years, her last being 2 months ago. A recent mammogram was negative. Heart, lung, breast, abdomen, and pelvic examination are unremarkable. Which of the following procedures or tests should most likely be performed on this patient?

A. Chest x-ray
B. Pap test
C. Pelvic ultrasound
D. Prostate-specific antigen (PSA)
E. Rectal examination
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Old 09-12-2012
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Wells, since there is no option to just knock her out,
I'd take chest x-ray to sortof maybe take a look where the HTN comes from and if there is fibrosis or something....

btw, where is the q from?
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Old 09-12-2012
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Quote:
Originally Posted by DocSikorski View Post
Wells, since there is no option to just knock her out,
I'd take chest x-ray to sortof maybe take a look where the HTN comes from and if there is fibrosis or something....

btw, where is the q from?

the qs is from offline kaplan bank ......

i would go for E ..... should have been ocult stool test but for this vague qs old people chronic bleed == CA as chest x ray never used for screening i guess ......
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Originally Posted by Hitman View Post
the qs is from offline kaplan bank ......

i would go for E ..... should have been ocult stool test but for this vague qs old people chronic bleed == CA as chest x ray never used for screening i guess ......
Ye, rectal examination probably is the answer...
Pretty gross though
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Old 09-12-2012
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Quote:
Originally Posted by K06100 View Post
A 53-year-old woman comes to the physician for an annual examination. She has no complaints. She has hypertension, for which she takes a thiazide diuretic, but no other medical problems. Her past gynecologic history is significant for normal annual Pap tests for many years, her last being 2 months ago. A recent mammogram was negative. Heart, lung, breast, abdomen, and pelvic examination are unremarkable. Which of the following procedures or tests should most likely be performed on this patient?

A. Chest x-ray
B. Pap test
C. Pelvic ultrasound
D. Prostate-specific antigen (PSA)
E. Rectal examination
Her age necessitates colonic cancer screening, but none of the above can be used for screening, E would be more appropriate to be a part of complete physical exam
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Originally Posted by Anders View Post
Her age necessitates colonic cancer screening, but none of the above can be used for screening, E would be more appropriate to be a part of complete physical exam
i strongly agree
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D. Prostate-specific antigen (PSA)
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Originally Posted by Novobiocin View Post
D. Prostate-specific antigen (PSA)
can we do PSA in women ?????
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They had given E as the correct answer......The explanation goes as follows --

The correct answer is
E. Cancer screening should be an essential part of an annual examination. Colorectal cancer is a major cause of serious morbidity and mortality for women in the U.S.: greater than 50,000 new cases are diagnosed each year, and there are more than 25,000 deaths from colorectal cancer. Screening should begin at age 50 in asymptomatic women with no significant family history. Screening consists of a digital rectal examination with fecal occult blood testing. This can be performed at the same time that pelvic examination is performed. Sigmoidoscopy should be performed every 3-5 years. This patient has no indication for a chest x-ray (choice A). Lung cancer has surpassed breast cancer as the major cause of cancer death in women. However, chest x-ray films are not used for lung cancer screening. There is currently no technique available for routine screening for lung cancer. The Pap test (choice B) is an important method of screening for cervical cancer and should be performed annually. However, this patient had a normal Pap test 2 months ago. Pelvic ultrasound (choice C) is not indicated in this patient. She has nothing abnormal in her history or physical that would warrant pelvic ultrasound. Pelvic ultrasound is not used for cancer screening. Prostate-specific antigen (PSA) (choice D) is an appropriate test in men. PSA testing would not be indicated in this (female) patient.

May be before colonscopy was used as screening tool ,they did DRE with FOBT.......??????
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can we do PSA in women ?????
I think that's why he made this face.... It was a joke!
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ye, MTB says 95% of colon cancer is prevented by screening.

in this question you just have to guess... assume...
and have very long fingers with 50 joints in them....
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Quote:
Originally Posted by Dr_Laura View Post
I think that's why he made this face.... It was a joke!
I knew it.....just asked for fun.....
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