A 64-Year-Old Man Comes to the Office Due to Several

question 740

Multiple Choice

A 64-year-old man comes to the office due to several episodes of intermittent hematuria over the past 2 months.  He has had no abdominal pain, burning on urination, or fever but has lost 4.5 kg (10 lb) since the onset of symptoms.  The patient has smoked a pack of cigarettes daily for 30 years.  Vital signs are within normal limits.  The abdomen is soft, nontender, and nondistended.  An enlarged and firm prostate is palpated on digital rectal examination.  Serum calcium is 12.3 mg/dL.  Urinalysis shows 30-40 red blood cells/hpf, negative protein, and no casts.  A CT scan of the abdomen is shown below. Which of the following is the most likely diagnosis?

• A)Bladder cancer
• B)Pheochromocytoma
• C)Polycystic kidney disease
• D)Prostate cancer
• E)Renal cell carcinoma
• F)Ureterolithiasis

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Definitions:

Inventory Level

The quantity of goods and materials on hand at any given time within a business, crucial for fulfilling customer orders and maintaining production flow.

Beef Jerky

is a snack made from lean trimmed meat that is cut into strips, marinated, and then dried to prevent spoilage.

Supply Chain Processes

The series of activities and operations involved in the production and distribution of a commodity, from raw materials to the final product delivery.

Product Availability

The extent to which a product can be purchased at any given time, reflecting the effectiveness of the supply chain in meeting consumer demand.