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Revision as of 23:53, 5 August 2013
Author | PageAuthor:: |
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Exam Type | ExamType::USMLE Step 2 CK |
Main Category | MainCategory::Internal medicine |
Sub Category | SubCategory::Gastrointestinal, SubCategory::Gastrointestinal |
Prompt | [[Prompt::A 56-year-old man comes to the health clinic with complaints of constant epigastric pain. He states he has a history of gastrointestinal ulcers and that this occurrence "feels like an ulcer." He reports taking a 2-week course of medication several years ago but can't remember the medication names. While waiting for results, the patient's condition rapidly deteriorates. He suddenly complains of severe pain in the epigastrium and turns pale. His blood pressure acutely rises and he becomes tachycardic. What is the best imaging study for diagnosis of the most likely condition?]] |
Answer A | AnswerA::Lateral decubitus chest x-ray. |
Answer A Explanation | AnswerAExp:: |
Answer B | AnswerB::Plain upright chest x-ray. |
Answer B Explanation | AnswerBExp:: |
Answer C | AnswerC::CT scan abdomen. |
Answer C Explanation | AnswerCExp:: |
Answer D | AnswerD::Ultrasound abdomen. |
Answer D Explanation | AnswerDExp:: |
Answer E | AnswerE::Emergency EGD investigation. |
Answer E Explanation | AnswerEExp:: |
Right Answer | RightAnswer::B |
Explanation | [[Explanation::This patient exhibits signs of acute ulcer perforation. As this is a surgical emergency, fast and accurate testing is very important; thus plain upright chest x-ray is preferred. This will commonly show free air concentrated under the diaphragm. Educational Objective: |
Approved | Approved::No |
Keyword | |
Linked Question | Linked:: |
Order in Linked Questions | LinkedOrder:: |