Read the following Case Study and answer the questions based on the information. History of Present Illness:...

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Medical Sciences

Read the following Case Study and answer the questionsbased on the information.
History of Present Illness: The patient hasbeen noted to have some bright, red bleeding intermittently forapproximately 8 months, initially presumable of a hemorrhoidalbasis. She recently has had intensification of the rectal bleedingbut no weight loss, anorexia, or obstructive pain. No significantdiarrhea or constipation. Some low back pain, probably unrelated.Recent colonoscopy by Dr. Scoma revealed a large sessile (attachedby a broad base) polyp, which was partially excised at the 20 cmlevel, showing infiltrating adenocarcinoma at the base. The patientis to enter the hospital at this time, after home antibiotic andmechanical bowel prep, to undergo sigmoid colectomy and possiblefurther resection.Â Â Â Â Â Â
1. The patient has had which of the followingchronic symptoms: .............
A. Loss of appetite
B. Melena
C. Hematochezia
D. LoosestoolsÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
2. The cause of her chronic symptom was:
A. Glandular tumor of the stomach
B. Swollen rectal veins
C. Ulcerative colitis
D. Malignant tumor of thecolonÂ Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
3. What procedure did she have recently thatdiagnosed her condition?
A. Visual examination of her largeintestine
B. Removal of her sigmoid colon
C. Low anterior resection of the largeintestine
D. Hemorrhoidectomy
Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â

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1 The patient has had hematochezia Answer C Hematochezia Hematochezia is a condition where the patient passes fresh blood in the stool As mentioned in the case study The patient has been noted to have some bright red bleeding See Answer

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