A 30-Year-Old Man Comes to the Emergency Department Due to Severe

question 31

Multiple Choice

A 30-year-old man comes to the emergency department due to severe abdominal pain.  The patient first developed the pain yesterday, and it has become increasingly worse.  Over the last few hours, he has also developed bilious emesis.  The patient has had no previous surgeries.  Temperature is 37.8 C (100 F) and pulse is 110/min.  Physical examination shows diffuse abdominal tenderness with guarding during palpation.  Abdominal imaging reveals bowel wall thickening within a blind pouch connected to the ileum.  A laparotomy is performed.  During the procedure, a fibrous band is seen attaching the end of the pouch to the umbilicus.  The walls of this pouch are most likely composed of which of the following?

• A)Fibrous scar tissue
• B)Granulation tissue and peritoneum
• C)Mucosa and submucosa layers
• D)Omentum and adipose tissue
• E)Submucosa, mucosa, and muscular layers

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Definitions:

Sensorimotor Period

A stage in early child development (from birth to about 2 years old) where learning occurs through sensory experiences and manipulating objects.

Motor Skills

Abilities required to execute physical actions, which include both fine motor skills (small movements, like holding a pencil) and gross motor skills (larger movements, like walking).

Finger Movements

The motions or actions executed by the fingers, often requiring fine motor skills.

Screen Time

The amount of time spent using devices with screens such as smartphones, computers, televisions, and tablets, often of concern in discussions of mental and physical health.