If Cecilia in the previous question were to leave her syphilis untreated, which of the below conditions would she possibly develop if it moves into the tertiary phase?

Martha is 24 and has gone to the doctor with complaints of pain when she urinates and frequent urination. After a series of tests, she is diagnosed with interstitial cystitis. Which of these would NOT you see in her UA?

Greg is a 72 year old man who has been diagnosed with overflow incontinence. Which of these is the most likely cause of his issues?

Andre went to the doctor complaining of joint pain, stomach issues, and spending a long time on the toilet when he needs to go to the bathroom. He is diagnosed with a parathyroid gland tumor causing hyperparathyroidism. Which of the below types of kidney stone would he need to be on the lookout for?

Mandy is a 12 year old girl whose mother brought her into urgent care. Mandy's eyes appear swollen, her urine is cola-colored, and she is running a fever. In her medical history, the admitting doctor notices that Mandy's medical history indicates that she had strep throat about 3 weeks ago. Which of the below is accurate regarding her current condition?

Male, 59 years old, divorced & unemployed was admitted to an acute medical ward at the hospital presenting with general malaise, a grossly distended abdomen that had a positive fluid wave test, swollen ankles, and jaundice. Which of the below would you find on his LFT (liver function tests) if it was alcoholic cirrhosis? (check all that apply)

A 54 years old male presented to our clinic with a history of  Type 2 DM, hypercholesterolemia and overweight.  His chief complaint is a constant dull pain in his abdomen and low energy levels.  

He is afebrile with normal HR but hypertensive.  His LFT showed increased bilirubin, and an AST:ALT ratio 84:215.  An ultrasound demonstrated a fatty liver.  

Which of the below is his most likely diagnosis?

A 39-year-old female patient presented with pain in abdomen on examination, patient was conscious, oriented, and demonstrated mild tremors. Per-abdomen examination showed distension of abdomen .  Kayser-Fleischer rings were present in both eyes. Past history revealed later when the case was diagnosed as having cirrhosis. An endoscopic examination showed esophageal varices; with liver biopsy and increased serum copper levels resulted in a diagnosis. 

 Which of the below would you also say about her disease?

A 39-year-old female patient presented with pain in abdomen on examination, patient was conscious, oriented, and demonstrated mild tremors. Per-abdomen examination showed distension of abdomen .  Kayser-Fleischer rings were present in both eyes. Past history revealed later when the case was diagnosed as having cirrhosis. An endoscopic examination showed esophageal varices; with liver biopsy and increased serum copper levels resulted in a diagnosis. 

 Which of the below would you also say about her disease?

A patient has been recently diagnosed with fibrosis of the liver but no history of alcohol use.  Which of the below would NOT be accurate to tell them?

James is a 40y/o IV drug user and alcoholic. He is in your ER angry and combative because the staff has not yet given him any medications to help with his pain due to multiple drug seeking behaviors. He is complaining of abdominal pain and vomiting and is demanding dilaudid or fentanyl. You see his labs and understand that he does have a serious condition. Which of the below is the legitimate reason for James' discomfort?

A patient undergoing perimenopause would expect to see which of the following? (check all that apply)

A new nurse is examining the hormone labs from a suspected PCOS patient. Aside from hyperinsulinemia, which of these do you also expect to be elevated?

_____ is the term referring to unusually heavy and/or long menstrual periods which could cause ____?

______ is a condition in which the female has hormonal responding uterine tissue outside of the uterus.

Maria, a 40-year-old woman, presents to the clinic with complaints of heavy menstrual bleeding, pelvic pressure, and frequent urination over the past six months. She denies any significant medical history but mentions that her periods have become increasingly heavy and prolonged. On pelvic examination, her uterus is noted to be enlarged, and an ultrasound reveals multiple well-defined, solid masses within the myometrium that do not appear to respond to hormones.

Sarah, a 25-year-old woman, presents to the clinic with complaints of excessive facial hair growth over the past year. She also reports recent difficulty losing weight despite efforts to maintain a healthy diet and exercise regimen. She has no significant medical history, and her physical examination reveals mild hirsutism. An ultrasound shows the presence of multiple small cysts on both ovaries. Her blood tests reveal elevated levels of testosterone, and other thyroid function tests and prolactin levels are normal.

Based on the criteria for the diagnosis of Polycystic Ovary Syndrome (PCOS), which of the following statements best applies to Sarah's case?

Intraductal papillomas of the breast are benign lesions with an incidence of approximately 2-3%. They result from abnormal proliferation of the epithelial cells lining the breast ducts.

Two types of intraductal papillomas are generally distinguished. The central type develops near the nipple. They are usually solitary and often arise in the years nearing menopause. On the other hand, the peripheral type are often multiple papillomas arising at the peripheral ducts, and are usually found in younger women. The peripheral type are associated with a higher risk of malignancy.

Given this information- which category do you think peripheral intraductal papillomas fall under?

If a patient is looking for a longest lasting pharmacological treatment for his GERD you would tell him:

A 52-year-old man is referred to your practice for a history of gastroesophageal reflux disease (GERD). The patient reports a long history of heartburn symptoms, dating back at least 5 years. His symptoms were responsive to over the counter remedies including antacid tablets and liquids, but eventually became such a regular occurrence that he sought medical care from his primary care physician. He was initially prescribed an H2 blocker, which was incompletely effective, so he was started on proton pump inhibitor therapy. He currently takes 20mg of omeprazole daily which is effective, but notes that if he misses a dose, he sometimes experiences heartburn. He denies dysphagia, nausea or vomiting, blood in his stool, or unintentional weight loss. He has no other chronic medical conditions and takes no other medications. He is a nonsmoker who drinks alcohol in moderation, and has no family history of gastrointestinal cancer. Paperwork from the referring physician states that the reason for consultation is: “screening for Barrett’s esophagus.”

Which of the below would be an accurate statement to tell him (Check all that apply):

Alix is 64 and has come into the clinic complaining of abdominal and stomach pain approximately 1-2 hours after eating.  Given this information, where is the most likely location of his ulcer?

Alix from the previous question tests positive for  H. pylori and he is prescribed antibiotics and an H2 histamine blocker.  He decides not to take his medicines and chooses to depend only on meditation and yoga to decrease his stress.  A month later he is back at the clinic with complaints of increased pain in his abdomen, fever, and weight loss but feeling full all the time.  Which of the below do you suspect may be a complication of his ulcer? (Check all that may apply)

A 38-year-old  male was referred to the clinic. For the last 18 months prior, he had been treated as having irritable bowel syndrome (IBS) in another GI clinic. The diagnosis of IBS was made on clinical basis as he gave a history of recurrent episodes of abdominal bloating, vague abdominal pains and diarrhea, alternating with constipation. Otherwise, his appetite was good. There was some weight loss but no history of gastrointestinal bleeding. Since he was was a new patient, fresh blood tests were ordered.  The blood tests came back normal except for positive for anti-gliadin antibodies and increased PT indicating that he did not have IBS, but a different GI problem.

Given his blood tests, what are possible complications from lack of treatment of his actual disease? (Pick all that apply)

5 y/o girl from rural WA was admitted for treatment of glioblastoma of the brain. Over a period of approximately 18 months, she was treated as both an inpatient and outpatient with multiple courses of intensive chemotherapy, tumour resection, radiotherapy and immunotherapy. Treatment was complicated by extended hospital admissions requiring multiple courses of broad-spectrum antibiotics. 

Most recently she has been brought to your ED for diarrhea.  While the cancer did not spread, she most recently was given Ciproflaxin, and antibiotic, to treat a  Klebsiella pneumoniae infection.  Cultures have revealed the klebsiella has cleared up, but she is still experiencing the diarrhea.

What is the most likely cause of her diarrhea?

Shannon is a 68 year old woman who has complaints of lower left quadrant pain. She is a professional gamer who spends most of her days drinking Mountain Dew, eating pizza and cheetos, and playing Apex Legends on her Twitch channel.   She states that she has been suffering from constipation and occasional fevers.  Her CBC comes back with elevated WBC, but all other counts are normal.  A colonoscopy reveals the image here which means you should tell her that:

Continuous lesions and pseudo polyps affecting primarily the sigmoid colon is seen in what condition?

The term that pertains to feces with undigested lipids is called?

If a patient has Murphy's Sign, N/V, leukocytosis and RUQ pain but no jaundice they likely have:

If a patient has clay colored stools, increased ALT and AST, increased total bilirubin, is febrile and has RUQ pain:

If a patient is post-partum and has RUQ pain that comes and goes with fatty meals and is negative for leukocytosis, and N/V

If a patient is post-partum and has RUQ pain and is positive for jaundice, N/V, has clay colored stools, but is negative for leukocytosis

What are the common symptoms of chlamydia?