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4618 Surgery

A 43-year-old man is seen in his physician’s office for severe pain in the perineum. Examination reveals exquisite tenderness in the area to the right side of the anal verge due to a perianal abscess. Rectal examination is refused. What should be the next step in management?

ADrainage of the abscess in the office under local anesthesia.
BExcision of the vertical fold of Morgagni.
CDrainage under general anesthesia and immediate colonoscopy.
DCT scan of the abdomen.
Surgery
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4623 Surgery

A 65-year-old man presented with an episode of syncope. He said he felt dizzy during defecation and noticed gross bleeding in the pan. Fecal occult blood test done 3 months ago as a part of routine screening for colon cancer was negative. There is no history of recent weight loss. What is the likely colonoscopic finding?

AEarly stage carcinoma colon
BSigmoid diverticulitis
CMicroscopic colitis
DDilated mucosal and submucosal veins in the colon
Surgery
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4625 Surgery

An 18-year-old sexually active college student presents with complaints of lower abdominal pain and irregular bleeding for five days. She has no fever. She uses oral contraceptives as method of bih control. Upon examination, the cervix is friable, there is cervical motion tenderness and adnexal tenderness. The pregnancy test is negative. Which is the most likely etiologic agent responsible for these findings?

ANeisseria gonorrhoeae
BChlamydia trachomatis
CTreponema pallidum
DHerpes simplex virus type 2
Surgery
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4626 Surgery

A 64-year-old man presents with headache and left-sided upper extremity weakness. The MRI findings suggest that this is a glioblastoma multiforme. This is because the tumor exhibits which of the following?

AIt is regular in shape.
BIt is well demarcated from surrounding brain tissue.
CIt shows a ring pattern of enhancement with intravenous contrast and has a non-enhancing necrotic center.
DIt shows an absence of surrounding white-matter edema.
Surgery
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