A 43 year old woman undergoes investigation for

Info icon This preview shows pages 48–50. Sign up to view the full content.

251. A 43-year-old woman undergoes investigation for colitis. In her history, it is noted that 20 years earlier she underwent a surgical procedure on the large intestine. Is the diagnosis more likely to be ulcerative colitis rather than Crohn’s disease because at the previous operation? A. The serosa appeared normal on inspection, but the colon mucosa was extensively involved B. There was evidence of fistula formation C. All layers of the bowel wall were involved D. Skip lesions were noted E. The preoperative GI series showed a narrowing string like stricture in the ileum (string sign) 252. A 35-year-old man has known ulcerative colitis. Which of the following is an indication for total proctocolectomy? 253. A 54-year-old man with diarrhea is found to have ulcerative colitis. Colectomy should be advised in patients with ulcerative colitis who have symptoms that persist for more than which of the following? 254. A 48-year-old woman develops colon cancer. She is known to have a long history of ulcerative colitis. In ulcerative colitis, which of the following is a characteristic of colon cancer? 48
Image of page 48

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

255. A 40-year-old man with a long history of bloody diarrhea presents with increased abdominal pain, vomiting, and fever. On examination, he is found to be dehydrated and shows tachycardia and hypotension. The abdomen is markedly tender with guarding and rigidity. What is the most likely cause? A. Toxic megacolon in ulcerative colitis B. Small-bowel perforation from regional enteritis C. Perforated carcinoma of the sigmoid colon D. Volvulus of the sigmoid colon E. Acute perforated diverticulitis 256. A 25-year-old man has recurrent, indolent fistula in ano. He also complains of weight loss, recurrent attacks of diarrhea with blood mixed in the stool, and tenesmus. Proctoscopy revealed a healthy, normal-appearing rectum. What is the most likely diagnosis?
Image of page 49
Image of page 50
This is the end of the preview. Sign up to access the rest of the document.
  • Winter '18
  • Jane doe
  • acute pancreatitis

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern