CASE AA.B., a 38-year-old male presents with a 1.5-month history of intermittent upper abdominal
CASE AA.B., a 38-year-old male presents with a 1.5-month history of intermittent upper abdominal pain. He describes the pain as a dull, burning ache. The pain sometimes wakes him at night, is relieved by food, and is helped partially by Cimetidine. He had a similar but milder episode about 4 years ago. Physical examination reveals a fit, apparently healthy male in no cardiovascular distress. Abdominal examination revealed epigastric tenderness on palpation. The rest of the exam was unremarkable. Which of the following is the most likely diagnosis? A. Gastric UlcerB. Duodenal UlcerC. Gastroesophageal Reflux DiseaseD. Gallstone DiseaseE. Acute Choecystitis A stool exam was done and the results were unremarkable. Which of the following is NOT part of the patient’s stool analysis results? A. Gmelin’s test revealed a change of color from green to red to yellow.B. The addition of benzidine in glacial acetic acid revealed a blue-green color.C. Macroscopic analysis revealed normal stool color and appearance.D. None of the above A FOBT was requested. Which of the following is FALSE regarding this exam? A. It is known as the Fecal Occult Blood Test which is able to detect the presence of blood in stool not seen by the naked eye.B. A negative result means complete absence of any gastrointestinal bleeding and its complications.C. The test is based on guiac which reveals a blue color in the presence of bleedingD. None of the above. If the patient’s stool was examined and revealed gross fresh blood on analysis, which of the following is LEAST likely considered? A. ColitisB. Colorectal cancerC. Bile duct stenosisD. Constipation The patient’s drug, Cimetidine, works by: A. inhibiting muscarinic receptorsB. inhibiting H-K- ATPase pumpC. inhibiting histamine 1 receptorsD. inhibiting histamine 2 receptors Health Science Science Nursing NURSING 169 Share QuestionEmailCopy link Comments (0)
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