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gastroenterology-

  1. USMLE Step 2 CK Forum
    On pg 270 of MTB-CK second edition for hepatitis C it says "to treat chronic hep C use a combination of interferon, ribavirin, and either telaprevir or boceprevir." Then in the box on the side of the page it says "only acute hep c is treated" I am confused, can someone clear this up for me please?
  2. USMLE Step 2 CK Forum
    A 72-year-old man status post–coronary artery bypass graft (CABG) 5 years ago presents with hematochezia, abdominal pain, and fevers. Colonoscopy reveals patches of dusky-appearing mucosa at the splenic flexure without active bleeding. Which of the following is the most appropriate management of...
  3. USMLE Step 2 CK Forum
    in kaplan medicine its written that biopsy is most accurate test, but in mtb2 its written that most accurate test for wilson disease in increased urinary copper level on pencilamine test,..........which one is rite?
  4. USMLE Step 2 CK Forum
    I know that all above 55 with new onset dyspepsia + below 55 with alarming signs must undergo upper endoscopy first In UW it's mentioned that upper endoscopy is also warranted if there's a family history of colon cancer does this mean that even if a young patient presenting with dyspepsia and...
  5. USMLE Step 2 CK Forum
    A 40-year-old man with a recent history of exploratory laparotomy for a stabbing injury presents to the emergency department with diffuse cramping abdominal pain for 1 day, accompanied by nausea, multiple episodes of brown colored vomitus, and lack of stool, but he reports some flatulence. He...
  6. USMLE Step 2 CK Forum
    in UW it says that when a liver metastasis is found on imaging or by clues like : firm hepatomegaly, microcytic anemia ( occult blood), cholestasis and pleural effusion -----> co CT abdomen with IV contrast isn't colon cancer is the most common especially when there's occult bleeding and we...
  7. USMLE Step 2 CK Forum
    best initial and most accurate test for zollinger ellison syndrome?
  8. USMLE Step 2 CK Forum
    Risk factor for gastric perforation : - NSAID - H pylori - Burn - Head injury - Trauma - Cancer How?
  9. USMLE Step 3 Forum
    Can someone explain what is the guidelines of colonoscopy follow up for discovered polyps during initial screening? Thanks
  10. USMLE Step 2 CK Forum
    Confirm the diagnosis of acute pancreatitis with elevated amylase and lipase. Make the patient NPO and give IV fluids, O2, analgesia, and "tincture of time. What is the meaning of "tincture of time" ??
  11. USMLE Step 2 CK Forum
    based on UW concept, but changed not to infringe on copyright ----------------------------------------------------------------- You walk into the evaluation room, where you meet a pleasant 67-y.o. female, who complains of painless rectal bleeding for the past couple weeks. She says that the...
  12. USMLE Step 2 CK Forum
    Patient presents with symptoms typical of peptic ulcer disease (whether duudonal or gastric). What's the best next step? Endoscopy, H. Pylori testing, or start directly with triple therapy?
  13. USMLE Step 2 CK Forum
    why is yogurt not removed from diet in lactose intolerance?
  14. USMLE Step 3 Forum
    A 44-year-old woman is evaluated for complaints of abdominal pain. She describes the pain as a postprandial burning pain. It is worse with spicy or fatty foods and is relieved with antacids. She is diagnosed with a gastric ulcer and is treated appropriately for Helicobacter pylori. During the...
  15. USMLE Step 3 Forum
    A 55-year-old male with cirrhosis is seen in the clinic for follow-up of a recent hospitalization for spon-taneous bacterial peritonitis. He is doing well and finish-ing his course of antibiotics. He is taking propranolol and lactulose. Besides complications of end-stage liver dis-ease, he has...
  16. USMLE Step 3 Forum
    A 58 year-old man is evaluated for a new diagnosis of cirrhosis. The patient has a medical history of diabetes mellitus, hypertriglyceridemia, and hypertension. He takes pioglitazone, rosuvastatin, lisinopril, and atenolol. He is a lifetime nonsmoker and has never used IV drugs. He drinks about...
  17. USMLE Step 3 Forum
    You are asked to consult on a 62-year-old white female with pruritus for 4 months. She has noted progres-sive fatigue and a 5-lb weight loss. She has intermittent nausea but no vomiting and denies changes in her bowel habits. There is no history of prior alcohol use, blood trans-fusions, or...
  18. USMLE Step 3 Forum
    48-year-old woman presents complaining of fatigue and itching. She has been tired for the past 6 months and has recently developed diffuse itching. It is worse in the evening hours, but it is intermittent. She does not note it to be worse following hot baths or showers. Her past medical history...
  19. USMLE Step 3 Forum
    A 34-year-old woman is evaluated for fatigue, malaise, arthralgias, and a 10-lb weight loss over the past 6–8 weeks. She has no past medical history. Since feeling poorly, she has taken approximately one or two tablets of acetaminophen 500 mg daily. On physical examination, her temperature is...
  20. USMLE Step 3 Forum
    A 46-year-old man is known to have chronic hepatitis C virus (HCV) infection. He is a former IV drug user for more than 20 years who has been abstinent from drug use for 1 year. He is asking whether he should receive treatment for his HCV infection. He has a prior history of hepatitis B virus...
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