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Can you help me with these questions Question 31 A 49-year-old female with a history of colorectal cancer for which she has had surgical resection and chemotherapy presents with profound abdominal pain. She has not vomited, and she is not certain when she had her last normal bowel movement; her bowel habits have been irregular for some time. A CBC demonstrates a mild microcytic anemia but is otherwise normal; her WBC is 5.9. Abdominal radiographs demonstrate dilation of the proximal colon, air-fluid levels, and a complete absence of air in the rectum. The most likely diagnosis is: Perforated colon Paralytic ileus Complete bowel obstruction Intestinal volvulus Question 32 A 55-year-old male with a past medical history of hypertension and hyperlipidemia presents to your office with an acute onset of fevers, chills, dysuria, urinary frequency, and right CVA tenderness. On exam, he appears to be moderately ill, with a temperature of 39.3°C, heart rate of 105/min, and blood pressure of 115/60 mmHg. His cardiopulmonary and abdominal exams are negative. A urine dip in the office reveals 2+ blood, 2+ leukocytes, and negative nitrates. Of the following tests, which is most likely to lead to the correct diagnosis? a. Urine culture b. Renal ultrasound c. Blood cultures d. CT scan of the abdomen Question 33 You have been asked to review the office’s current policy on HIV testing and present your recommendations at the next monthly meeting. You review the current Centers for Disease Control and Prevention (CDC) recommendations and suggest that the office make some changes. What would you recommend? All patients are screened annually. High risk patients be screened every two years Only high-risk patients will All patients aged 13 – 64 be tested at least once regardless of risk category Question 34 On postoperative day 7 following hepatic transplant, the patient has signs and symptoms of acute rejection, confirmed by histological examination. The treatment indicated at this time is? Methylprednisolone Sirolimus Azathioprine Cyclosporine Question 35 A young woman who was admitted with jaundice, anorexia, and dehydration. Which of the following lab results would indicated current/recent Hepatitis A infection? Elevated IgG Elevated IgM Elevated IgE decreased IgM & IgG

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