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10444 Medicine

A 55-year-old white woman has had recurrent episodes of alcohol-induced pancreatitis. Despite abstinence, the patient develops postprandial abdominal pain, bloating, weight loss despite good appetite, and bulky, foul-smelling stools. Kidney, ureter, bladder (KUB) x-ray shows pancreatic calcifications. In this patient, you should expect to find which of the following?

ADiabetes mellitus
BMalabsorption of fat-soluble vitamins D and K
CPositive fecal occult blood test
DCourvoisier sign
Medicine
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10449 Medicine

A 57-year-old banker complains of 2 days of severe dizziness. When she sits up or rolls over in bed, she has a spinning sensation that lasts for a few seconds and is followed by nausea. These episodes have occurred many times a day and prevent her from working. She denies fever or upper respiratory symptoms and takes no medications. When moved quickly from a sitting to a lying position with her head turned and hanging below the horizontal plane, she complains of dizziness, and horizontal nystagmus is noted. The most likely diagnosis is

AOrthostatic hypotension
BMeniere disease
CAcoustic neuroma
DBenign paroxysmal positional vertigo (BPPV)
Medicine
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