WBR1038
| Author | [[PageAuthor::Ahmed Zaghw, M.D. [1]]] |
|---|---|
| Exam Type | ExamType::USMLE Step 2 CK |
| Main Category | MainCategory::Internal medicine |
| Sub Category | SubCategory::Gastrointestinal, SubCategory::Infectious Disease |
| 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 of United States frequently for business trips. The vital signs shows 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::HIV, WBRKeyword::Diarrhea |
| Linked Question | Linked:: |
| Order in Linked Questions | LinkedOrder:: |