5eng-9 gr

A 46-year-old man is admitted to the hospital for upper gastrointestinal (GI) bleeding. He has a known history of peptic ulcer disease, for which he takes a protonpump inhibitor. His last admission for upper GI bleeding was 4 years ago. After fluid resuscitation, he is hemodynamically stable and his hematocrit has not changed in the past 8 h. Upper endoscopy is performed. Which of the following findings at endoscopy is most reassuring that the patient will not have a significant rebleeding episode within the next 3 days?

 

All the following are associated with an increased risk for cholelithiasis except

 

A male patient with inflammatory bowel disease (IBD) comes to your office as a new patient. Reviewing the medical records, you note that he has had primarily rectal disease. Macroscopic photographs from his most recent colonoscopy show a lumpy, bumpy, hemorrhagic mucosa with ulcerations. Histology shows a process that is limited to the mucosa, with the deep layers unaffected. There are crypt abscesses. Which historic feature would be surprising in a patient with this form of IBD

  A patient with known peptic ulcer disease presents with sudden abdominal pain to the emergency department. She is thought to have peritonitis but refuses an abdominal examination due to the discomfort caused by previous examinations. Which of the following maneuvers will provide reasonably specific evidence of peritonitis without manual palpation of the abdomen?

The pain associated with acute urinary tract obstruction is a result of which of the following?

 

All the following forms of glomerulonephritis (GN) have associated normal serum complement C4 levels except

 

All the following are complications during hemodialysis except

 

 A 25-year-old female with cystic fibrosis is diagnosed with chronic pancreatitis. She is at risk for all of the following complications except

Which of the following extraintestinal manifestations of inflammatory bowel disease typically worsens
with exacerbations of disease activity?

 

The most common complication of acute renal failure:

All symptoms are characteristic of acute renal failure, except:

In what period of acute renal failure does hypokalemia develop?

For the oliguric stage of acute renal failure, all of the above is characteristic, except:

Indicate the normal value of serum potassium:

What is the most common cause of obstructive jaundice?