If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

 Best of Five 104

 

   

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

 

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

 

 

 

Google
Web ydr.org.uk
acesforpaces.com medicalrevision.org

BOF: 104

A 45-year-old female presents with an 8-week history of diarrhoea with no blood or mucous, colicky abdominal pain, vomiting and loss of weight of 10 kgs.

She has a history of appendicetomy and has fibromyalgia for which she has been on Diclofenac SR 75 mgs b.d.

On examination she was afebrile and looked pale. The abdomen was diffusely tender but soft. Bowel sounds were normal and rectal examination was normal.

Investigations showed:

Hb 7.5 g/dL, MCV 70 fl CRP 235, coeliac screen negative

LFTs normal, urea and electrolytes normal

Colonoscopy revealed several webs with superficial ulceration in the ascending colon. Biopsies from these areas showed non-specific inflammation.

In this patient, the most important aspect of treatment is:

a)      Discontinue Diclofenac

b)      Treat with Steroids

c)      Treat with Mesalazine

d)      Treat with Azathioprine

e)      Treat with Ciprofloxacin

 

Back
Up
Next

Up ] Answer ]