MSRA-0664
A 35-year-old female complains of abdominal discomfort accompanied by alternating episodes of constipation and diarrhea. What symptom is the least indicative of irritable bowel syndrome?
Archives: MSRA
MSRA-0665
A 28-year-old man with a history of ulcerative colitis presents to the hospital with a flare-up of his condition. He has been experiencing up to five bloody stools per day for the past three days, and has developed abdominal pain and a low-grade fever in the last 24 hours. His blood work shows the following results:
– Hemoglobin: 13.9 g/dL
– Platelets: 422 * 10^9/L
– White blood cells: 10.1 * 10^9/L
– Erythrocyte sedimentation rate: 88 mm/hr
– C-reactive protein: 198 mg/L
What is the most crucial investigation to conduct next?
MSRA-0666
A 54 year old woman presents to the General Practice clinic with complaints of increasing dyspepsia, dysphagia, and fatigue. She reports a prolonged history of dark brown stools, but denies any recent episodes of fresh blood. She has not experienced any unexplained weight loss and underwent surgery for a peptic ulcer a decade ago. Upon investigation, she is found to have H. pylori. What should be the subsequent course of action?
MSRA-0667
A 49 year old man complains of experiencing dyspepsia on and off for the past few months. He reports no signs of bleeding, dysphagia or weight loss, abstains from alcohol and is generally healthy. He is not taking any regular medication and has been using over-the-counter antacids which provide some relief. Physical examination reveals no abnormalities. What is your recommended plan for continued management?
MSRA-0668
A 35-year-old woman presents to the hospital with diarrhea and abdominal pain. She has a history of depression and takes citalopram, smokes 20 cigarettes per day, and drinks 20 units of alcohol per week. During ileocolonoscopy, Crohn’s disease is diagnosed, and she is treated with glucocorticoid therapy. What is the most crucial step to decrease the likelihood of future episodes?
MSRA-0669
Each one of the following is a recognised complication of gastro-oesophageal reflux disease, except:
MSRA-0670
A 68-year-old man presents with intermittent dull abdominal pain for the past few weeks. He reports no weight loss but has had one episode of dark, foul-smelling stool in the past week. On examination, he appears well and all vital signs are within normal limits. A rectal exam is unremarkable. Laboratory tests reveal a hemoglobin level of 112 g/L (normal range for males: 135-180 g/L), a hematocrit of 0.38 L/L (normal range: 0.37-0.49 L/L), a mean cell volume of 70 fL (normal range: 80-101 fL), a mean cell hemoglobin of 28 pg (normal range: 27-34 pg), a platelet count of 165 * 109/L (normal range: 150-400 * 109/L), and a white blood cell count of 6.4 * 109/L (normal range: 4.0-11.0 * 109/L). What is the most appropriate next step in management?
MSRA-0671
A 65-year-old man with a history of type 2 diabetes, angina, and erectile dysfunction presents with complaints of rectal pain. During a per rectum examination, the patient experiences discomfort and an anal ulceration is discovered. What is the most probable cause of this man’s symptoms?
MSRA-0672
What is the most crucial measure to take in order to prevent the advancement of non-alcoholic steatohepatitis in a 52-year-old woman who has been diagnosed through a liver biopsy?
MSRA-0673
A 65-year-old male with a history of COPD and hypertension complains of pain while swallowing. The patient is currently taking a salbutamol and beclomethasone inhaler, bendroflumethiazide, and amlodipine. What could be the possible reason for this symptom?