Year old patient admitted with massive vomiting with

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81. 63-year-old patient admitted with massive vomiting with blood, which started suddenly. Previous history of viral hepatitis. On examination: caput medusae, enlarged liver and spleen. What is the cause of bleeding? A. Erosive gastroduodenitis; B. Peptic ulcer disease complicated with bleeding; C. Esophageal varices ; D. Mallory-Weiss syndrome; E. Gastric cancer. 82.Choose the most efficient diagnostic method in case of peptic ulcer disease complicated with bleeding: 83. In patient suffering from peptic ulcer disease the risk of bleeding is highest in case of: 84. During endoscopy on the proximal 1/3 of lesser curvature of stomach the large ulcer (3x3 cm) with profuse arterial bleeding was visualized. Name the bleeding vessel. 16
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85. 53-year-old patient, alcoholic, complaining for hematemesis that follows episodes of intense vomiting. During endoscopy: liner tears below the gastroesophageal junction. Make the diagnosis? A. Peptic ulcer complicated with bleeding; B. Mallory-Weiss syndrome; C. Esophageal varices; D. Dieulafoy’s lesion; E. Gastritis. 86.Name most often cause of GIT bleeding? 87.The main complication of GIT bleeding is? 88. What is the most efficient and safe method of bleeding stress ulcers treatment? 89. Peptic ulcer complicated with bleeding is associated with such clinical signs: 1). Increase of the pain; 2). Coffee ground vomitus; 3). Decrease of the pain; 4). Bradycardia; 5). Melena A. 1, 2, 3; B. 2, 3, 5; C. 3, 4, 5; D. 1, 3, 4; E. All. 90. A 68-year-old woman has been diagnosed with a benign ulcer on the greater curvature of her stomach, 5 cm proximal to the antrum. After 3 months of standard medical therapy, she continues to have guaiac positive stool, anemia, and abdominal pain with failure of the ulcer to heal. Biopsies of the gastric ulcer have not identified a malignancy. The next step in management is which of the following? 17
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  • Winter '18
  • Jane doe
  • acute pancreatitis

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