A 52-Year-Old Postmenopausal Woman Comes to the Office for Evaluation

question 386

Multiple Choice

A 52-year-old postmenopausal woman comes to the office for evaluation of several months of episodic abdominal discomfort and nausea, especially after a fatty meal.  She has no past medical history and does not use tobacco, alcohol, or illicit drugs.  Her BMI is 33 kg/m².  Physical examination shows a soft, nontender abdomen with normal bowel sounds.  Liver span is 8 cm.  Murphy sign is negative.  Abdominal x-ray reveals no calcifications, but abdominal ultrasound shows a small, non-obstructing gallstone.  The patient prefers nonoperative management.  Which of the following would best treat this patient's condition?

• A)Bile acid supplement
• B)Cholestyramine therapy
• C)Estrogen replacement therapy
• D)Fenofibrate therapy
• E)Iron chelation therapy
• F)Phosphate-binding agent
• G)Rapid weight loss

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Definitions:

Busing

The transportation of students to schools outside their local school districts as a means of achieving racial integration in public schools.

Domestic Policy

Governmental policies addressing the internal matters of a country, such as education, healthcare, and infrastructure.

Liberal Agenda

A set of political and social objectives associated with liberalism, typically emphasizing individual rights, equality, and government intervention for social welfare.

Conservative Goals

Objectives typically pursued by conservative political or social movements, emphasizing tradition, stability, limited government intervention, and free-market principles.