USMLE Forum Archives - USMLE Step 2 CK - int med 09
int med 09
bingousmle - 09-30-10 20:08
A 78-year-old female nursing home resident complains of rectal pain and profuse watery diarrhea for 2 days. Her nurse reports 2 weeks of constipation prior to this. A physician sent a Clostridium difficile stool antigen test that returned negative. What is the next step in establishing
a diagnosis?
A. Colonoscopy
B. Digital rectal examination
C. Repeat C. difficile stool antigen test
D. Rotavirus stool antigen
E. Stool culture
bingousmle - 09-30-10 20:08
A 78-year-old female nursing home resident complains of rectal pain and profuse watery diarrhea for 2 days. Her nurse reports 2 weeks of constipation prior to this. A physician sent a Clostridium difficile stool antigen test that returned negative. What is the next step in establishing
a diagnosis?
A. Colonoscopy
B. Digital rectal examination
C. Repeat C. difficile stool antigen test
D. Rotavirus stool antigen
E. Stool culture
The correct answer and explanation will be available after you answer.
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#3
Re: int med 09 medicine123 - 10-04-10 02:52 My answer is: a.
features(diarrhoea followed by loose motion) points towards IBS(inflammatory bowel syndrome)
#9
Re: int med 09 babbu5508 - 10-24-10 06:54 My answer is: a.
colonoscopy can be very important for diagnosis in this case with rectal pain and profuse watery diarrhoea....
#13
Re: int med 09 dell22 - 10-29-10 13:36 This is because of fecal impaction, so the answer is digital exam.
#27
Re: int med 09 drspleen - 03-22-11 16:34 A 78-year-old female nursing home resident complains of rectal pain and profuse watery diarrhea for 2 days. Her nurse reports 2 weeks of constipation prior to this. A physician sent a Clostridium difficile stool antigen test that returned negative. What is the next step in establishing
a diagnosis?
A. Colonoscopy
B. Digital rectal examination
C. Repeat C. difficile stool antigen test
D. Rotavirus stool antigen
E. Stool culture
B. Digital rectal examination
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