WBR1038: Difference between revisions
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Ahmed Zaghw (talk | contribs) (Created page with "{{WBRQuestion |QuestionAuthor={{AZ}} |Prompt=A 18-year-old African american male comes to the office for the evaluation of pain in his right hip that started 7 weeks ago. The ...") |
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{{WBRQuestion | {{WBRQuestion | ||
|QuestionAuthor={{AZ}} | |QuestionAuthor={{AZ}} | ||
|Prompt=A | |Prompt=A 30 year old adult male comes to the clinic of progressive weight loss over 10 pounds, the condition started 18 months earlier when he noticed progressive non bloody diarrhea. He reports that he feels malaise and aching in multiple joints allover his body and his energy level is low for the last couple of months. He admits that he has few unprotected sexual relationships. The past medical history is non-relevant. He denies taking any alcohol or cigarette. He works as DJ composer and get used to travel out united states frequently for business trips. The physical examination showed a temperature of 37.0 C with soft non tender abdomen and negative fecal occult blood stool. The laboratory is negative for antiendomysial antibodies. The small intestine biopsy shows a PAS staining macrophages. Which is the best next step? | ||
|Explanation= | |Explanation='''Educational Objective:''' | ||
|AnswerA=Start Antibiotic | |||
|AnswerA= | |||
|AnswerAExp='''Incorrect'''-[[]] | |AnswerAExp='''Incorrect'''-[[]] | ||
|AnswerB= | |AnswerB=Repeat colonscopy after cortisone | ||
|AnswerBExp='''Incorrect'''-[[]]. | |AnswerBExp='''Incorrect'''-[[]]. | ||
|AnswerC= | |AnswerC=Check HIV ELISA | ||
|AnswerCExp='''Correct'''-[[]] | |AnswerCExp='''Correct'''-[[]] | ||
|AnswerD=Gluten free diet | |||
|AnswerDExp='''Incorrect'''-[[]]. | |AnswerDExp='''Incorrect'''-[[]]. | ||
|AnswerE= | |AnswerE=Pancreatic enzymes replacement. | ||
|AnswerEExp='''Incorrect'''-[[]] | |AnswerEExp='''Incorrect'''-[[]] | ||
|RightAnswer=C | |RightAnswer=C | ||
Revision as of 01:25, 27 January 2014
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType:: |
| Main Category | |
| Sub Category | |
| Prompt | [[Prompt::A 30 year old adult male comes to the clinic of progressive weight loss over 10 pounds, the condition started 18 months earlier when he noticed progressive non bloody diarrhea. He reports that he feels malaise and aching in multiple joints allover his body and his energy level is low for the last couple of months. He admits that he has few unprotected sexual relationships. The past medical history is non-relevant. He denies taking any alcohol or cigarette. He works as DJ composer and get used to travel out united states frequently for business trips. The physical examination showed a temperature of 37.0 C with soft non tender abdomen and negative fecal occult blood stool. The laboratory is negative for antiendomysial antibodies. The small intestine biopsy shows a PAS staining macrophages. Which is the best next step?]] |
| Answer A | AnswerA::Start Antibiotic |
| Answer A Explanation | [[AnswerAExp::Incorrect-[[]]]] |
| Answer B | AnswerB::Repeat colonscopy after cortisone |
| Answer B Explanation | [[AnswerBExp::Incorrect-[[]].]] |
| Answer C | AnswerC::Check HIV ELISA |
| Answer C Explanation | [[AnswerCExp::Correct-[[]]]] |
| Answer D | AnswerD::Gluten free diet |
| Answer D Explanation | [[AnswerDExp::Incorrect-[[]].]] |
| Answer E | AnswerE::Pancreatic enzymes replacement. |
| Answer E Explanation | [[AnswerEExp::Incorrect-[[]]]] |
| Right Answer | RightAnswer::C |
| Explanation | [[Explanation::Educational Objective: Educational Objective: |
| Approved | Approved::No |
| Keyword | WBRKeyword::Drug induced myopathy, WBRKeyword::Steroid induced myopathy |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |