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(Created page with "{{WBRQuestion |QuestionAuthor=Gonzalo Romero |ExamType=USMLE Step 1 |MainCategory=Pathology, Pathophysiology, Physiology |SubCategory=Endocrine |MainCategory=Pathology, Pathop...") |
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|MainCategory=Pathology, Pathophysiology, Physiology | |MainCategory=Pathology, Pathophysiology, Physiology | ||
|SubCategory=Endocrine | |SubCategory=Endocrine | ||
|Prompt=A 46 year-old woman presents to the outpatient rural clinic complaining of 2 year history of constipation. She has taken over the counter fiber tablets which seem not to be helping. Her husband convinced her to go to the doctor after her husband entered the restroom and saw red bright blood in the toilet following the patient defecation. She is afraid of medicine and their complications. She is allergic to penicillin, for which she had a severe allergic reaction 4 years ago, therefore she stopped going to the doctor for a yearly checkup. She has a history of bilateral lower back pain abdominal pain which radiated to the groin a year ago, which resolved after taking lots of water, she states that "water is the best medicine". She communicates that she has been feeling nauseated, has been urinating more than usual, has had bone and muscle aches. Upon physical examination she looks fatigued and her vitals are WNL. The mucous membranes are moist. the neck is supple without any thyroid or lymph nodes enlargement, the rest of HEENT is normal. Lungs are CTA B/L w/o rales, wheezes or crackles. S1S1 RRR w/o murmur, rubs or gallops. Abdomen is NT/ND, BS negative, CVA tenderness bilaterally, w/o megaly. Neuro is grossly intact. Her Primary Physician, which he has not seen in a long time is thinking that a non palpable benign tumor is most likely causing her symptoms. He decides to order a blood test to check for calcium and PTH serum levels in order to confirm the suspicioun. Which of the following most likely correlates with this patient's findings? | |Prompt=A 46 year-old woman presents to the outpatient rural clinic complaining of 2 year history of constipation. She has taken over the counter fiber tablets which seem not to be helping. Her husband convinced her to go to the doctor after her husband entered the restroom and saw red bright blood in the toilet following the patient defecation. She is afraid of medicine and their complications. She is allergic to penicillin, for which she had a severe allergic reaction 4 years ago, therefore she stopped going to the doctor for a yearly checkup. She has a history of bilateral lower back pain abdominal pain which radiated to the groin a year ago, which resolved after taking lots of water, she states that "water is the best medicine". She communicates that she has been feeling nauseated, has been urinating more than usual, has had bone and muscle aches. Upon physical examination she looks fatigued and her vitals are WNL. The mucous membranes are moist. the neck is supple without any thyroid or lymph nodes enlargement, the rest of HEENT is normal. Lungs are CTA B/L w/o rales, wheezes or crackles. S1S1 RRR w/o murmur, rubs or gallops. Abdomen is NT/ND, BS negative, CVA tenderness bilaterally, w/o megaly. Neuro is grossly intact. Her Primary Physician, which he has not seen in a long time is thinking that a non palpable benign tumor is most likely causing her symptoms. He decides to order a blood test to check for calcium and PTH serum levels in order to confirm the suspicioun. Which of the following most likely correlates with this patient's findings? | ||
[[File:PTHCa.png|center|500px]] | |||
|Approved=No | |Approved=No | ||
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Revision as of 02:31, 3 September 2013
| Author | PageAuthor::Gonzalo Romero |
|---|---|
| Exam Type | ExamType::USMLE Step 1 |
| Main Category | MainCategory::Pathology, MainCategory::Pathophysiology, MainCategory::Physiology |
| Sub Category | SubCategory::Endocrine |
| Prompt | [[Prompt::A 46 year-old woman presents to the outpatient rural clinic complaining of 2 year history of constipation. She has taken over the counter fiber tablets which seem not to be helping. Her husband convinced her to go to the doctor after her husband entered the restroom and saw red bright blood in the toilet following the patient defecation. She is afraid of medicine and their complications. She is allergic to penicillin, for which she had a severe allergic reaction 4 years ago, therefore she stopped going to the doctor for a yearly checkup. She has a history of bilateral lower back pain abdominal pain which radiated to the groin a year ago, which resolved after taking lots of water, she states that "water is the best medicine". She communicates that she has been feeling nauseated, has been urinating more than usual, has had bone and muscle aches. Upon physical examination she looks fatigued and her vitals are WNL. The mucous membranes are moist. the neck is supple without any thyroid or lymph nodes enlargement, the rest of HEENT is normal. Lungs are CTA B/L w/o rales, wheezes or crackles. S1S1 RRR w/o murmur, rubs or gallops. Abdomen is NT/ND, BS negative, CVA tenderness bilaterally, w/o megaly. Neuro is grossly intact. Her Primary Physician, which he has not seen in a long time is thinking that a non palpable benign tumor is most likely causing her symptoms. He decides to order a blood test to check for calcium and PTH serum levels in order to confirm the suspicioun. Which of the following most likely correlates with this patient's findings?
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| Answer A | AnswerA:: |
| Answer A Explanation | AnswerAExp:: |
| Answer B | AnswerB:: |
| Answer B Explanation | AnswerBExp:: |
| Answer C | AnswerC:: |
| Answer C Explanation | AnswerCExp:: |
| Answer D | AnswerD:: |
| Answer D Explanation | AnswerDExp:: |
| Answer E | AnswerE:: |
| Answer E Explanation | AnswerEExp:: |
| Right Answer | RightAnswer:: |
| Explanation | [[Explanation:: Educational Objective: |
| Approved | Approved::No |
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| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |