A 42-Year-Old Man Comes to the Office to Discuss Abnormal

question 170

Multiple Choice

A 42-year-old man comes to the office to discuss abnormal blood work results that were obtained at a local health fair.  The patient currently feels well and reports no symptoms.  Temperature is 37.6 C (99.7 F) , blood pressure is 125/72 mm Hg, pulse is 82/min, and respirations are 13/min.  Examination shows no scleral icterus.  Heart and lung sounds are normal; skin and abdominal examination are normal.  Laboratory results are as follows: Right upper quadrant ultrasound is normal.  The patient undergoes magnetic resonance cholangiopancreatography, which reveals luminal irregularities with mild focal dilatations within both intrahepatic and extrahepatic biliary ducts.  Which of the following additional testing should be obtained from this patient?

• A)Colonoscopy
• B)Echocardiogram
• C)Ocular slit-lamp examination
• D)Pulmonary function tests
• E)Serum ferritin levels

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Definitions:

Two-Party Deliberations

Discussions or negotiations between two parties or sides, particularly in the context of dispute resolution or decision-making processes.

Differ

To differ means to be unlike or dissimilar in nature, form, or quality.

Complexity

Refers to the state or quality of being intricate or complicated, often used to describe problems, systems, or situations with many interconnected parts.

Simultaneously Engage

The act of participating in multiple activities or processes at the same time.