Notes in Organ System Pathology

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Published	09/05/2024	Question 1A 41-year-old man has a history of drinking 1 to 2 liters of whisky per day for the past 20 years. He has had numerous episodes of nausea an…
Published	09/05/2024	A 50-year-old man has had persistent nausea for 5 years with occasional vomiting. On physical examination there are no abnormal findings. He undergoes…
Published	09/05/2024	A 58-year-old man has had increasing difficulty swallowing for the past 6 months and has lost 5 kg. No abnormal physical examination findings are note…
Published	09/05/2024	A 31-year-old man with a stab wound to the abdomen is taken to surgery. While repairing the small intestine, the surgeon notices the presence of a 1 c…
Published	09/05/2024	Question 5 A 38-year-old man has had upper abdominal pain for 3 months. For the past week he has had nausea. On physical examination a stool sample is…
Published	09/05/2024	Question 6 A 15-year-old boy from Ghana has the acute onset of right upper quadrant abdominal pain. Abdominal ultrasound reveals a dilated gallbladder…
Published	09/05/2024	Question 7 A 35-year-old healthy woman develops sudden severe abdominal pain. On physical examination she is afebrile. On palpation the pain is center…
Published	09/05/2024	Question 8 After a summertime camping trip in the Green mountains of Vermont, a 29-year-old man has developed a mild watery diarrhea for the past week…
Published	09/05/2024	Question 9 A 45-year-old man has had vague abdominal pain and nausea for the past 3 years. This pain is unrelieved by antacid medications. He has no d…
Published	09/05/2024	Question 10 A 25-year-old man has noted cramping abdominal pain for the past week associated with fever and low-volume diarrhea. On physical examinati…
Published	09/05/2024	Question 11 A 32-year-old woman has a 10 year history of intermittent, bloody diarrhea. She has no other major medical problems. On physical examinati…
Published	09/05/2024	Question 12 A 39-year-old man is having a routine physical examination because of a history of colon cancer in his family. He has no abdominal tendern…
Published	09/05/2024	Question 13 A 72-year-old woman notes increasing jaundice and nausea for the past month. On physical examination she is afebrile, but scleral icterus …
Published	09/05/2024	Question 14 A 45-year-old man has had a fever and a productive cough for the past 3 days. On physical examination there is dullness to percussion over…
Published	09/05/2024	Question 15 A 62-year-old man has had anorexia, vomiting, and vague abdominal pain accompanied by weight loss of 6 kg over the past 2 months. Physical…
Published	09/05/2024	Question 16 A 44-year-old man, an emergency medical technician, has felt fatigued for the past 4 months. He experienced an episode of jaundice 10 year…
Published	09/05/2024	Question 17 A 20-year-old man is healthy but has a family history of colon cancer with onset at a young age. There are no abnormal physical examinatio…
Published	09/05/2024	Question 18 A 41-year-old man has experienced progressive fatigue, pruritus, and icterus for the past 4 months. He had a total colectomy performed fiv…
Published	09/05/2024	Question 19 A 43-year-old man has had mid epigastric pain and nausea for the past 2 months. On physical examination he has no abnormal findings. On up…
Published	09/05/2024	Question 20 A 40-year-old man has a long history of chronic alcohol abuse. On physical examination his liver edge is firm on palpation of the abdomen,…
Published	09/05/2024	Question 21 A 22-year-old woman has had progressive malaise for the past year. She has become increasingly obtunded over the past week. On physical ex…
Published	09/05/2024	Question 22 A 28-year-old woman with recent onset of a major depressive disorder ingests an entire bottle (100 capsules, 500 mg each) of a medication …
Published	09/05/2024	Question 23 A 23-year-old primigravida gives birth at term following an uncomplicated pregnancy to a male infant with no apparent congenital anomalies…
Published	09/05/2024	Question 24 A 45-year-old woman has noted difficulty swallowing for the past 6 months. On physical examination there are no abnormal findings. A bariu…
Published	09/05/2024	Question 25 A 53-year-old postmenopausal woman has been feeling increasingly tired for 3 months. She has had mid-epigastric pain for the past month. O…
Published	09/05/2024	Question 26 A 25-year-old man complains of a low volume but chronic, foul smelling diarrhea for the past year. He has no nausea or vomiting. On physic…
Published	09/05/2024	Question 27 A 32-year-old man has had lower abdominal pain for the past 12 hours. On physical examination there is tenderness to palpation in the righ…
Published	09/05/2024	Question 28 A 51-year-old man undergoes routine health examination by his nurse practitioner. There are no abnormal physical examination findings exce…
Published	09/05/2024	Question 29 A 50-year-old man gives a history of chronic alcohol abuse. He has had bouts of abdominal pain in the past year. For the past month, he ha…
Published	09/05/2024	Question 30 A 39-year-old woman has experienced substernal burning pain following meals for the past 15 years. On physical examination there are no ab…
Published	09/05/2024	Question 31 A 54-year-old man has complained for 5 months of upper abdominal pain accompanied by nausea. He does not have hematemesis. On physical exa…
Published	09/05/2024	Question 32 A 46-year-old man has had malabsorption with 5 kg weight loss for the past year associated with a low volume diarrhea. He also has a polya…
Published	09/05/2024	Question 33 A 64-year-old postmenopausal woman on estrogen therapy has noted worsening swelling of her feet during the past 5 months. She has had incr…
Published	09/05/2024	Question 34 A 54-year-old Asian man has had malaise with a 6 kg weight loss over the past 7 months. On physical examination he has a firm, nodular liv…
Published	09/05/2024	Question 35 A 38-year-old woman has had episodes of light-headedness, irritability, and difficulty concentrating at her work for the past year. On phy…
Published	09/05/2024	Question 36 A 47-year-old woman has a history of chronic alcohol abuse. She has chronic arthritis for which she has taken over-the-counter medications…
Published	09/05/2024	Question 37 A 35-year-old HIV positive woman known has had pain on swallowing for the past week. No abnormal physical examination findings are noted. …
Published	09/05/2024	Question 39 A 43-year-old previously healthy woman has noted bouts of sharp upper abdominal pain along with nausea for 3 weeks. On physical examinatio…
Published	09/05/2024	Question 41 A 41-year-old man is found in an obtunded state and taken to the hospital. On admission physical examination he is icteric. His abdomen is…
Published	09/05/2024	Question 42 A 70-year-old previously healthy man notes blood-streaked stool for the past 2 days. On physical examination his stool is positive for blo…
Published	09/05/2024	Question 44 A 60-year-old man has worsening dyspnea and swelling of his legs for the past month. On physical examination he has pitting edema to the h…
Published	09/05/2024	Question 45 A 42-year-old man has been an intravenous drug user of heroin for 20 years. He has noted blood-streaked stool on defecation for the past w…
Published	09/05/2024	Question 43 A 3 month old male infant was born at term with no congenital anomalies. His mother has noted marked abdominal enlargement along with infr…
Published	09/05/2024	Question 40 A student fails to use proper disinfection techniques in carrying out his microbiology experiment. Two weeks later, he has spiking fevers …
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