27-year-old white female comes to the office and complains of a headache for the last two weeks. She characterizes the headache as
intermittent, ''feels like a dull ache", 5/10 in severity, and associated with nausea and vomiting. She is afebrile and never had such a headache
before. She has no visual complaints. She is a non-smoker and drinks alcohol only on weekends. Her only drugs are oral contraceptive pills
(OCPs). Her menses are regular, and she has never conceived. She has no family history of similar problem. Her pulse is 80/min, temperature is
37.1° C, blood pressure is 120/75mmHg and respirations are 15/min. She is 5 feet 10 inches tall, and her weight is 210 lbs. The neurological
examination is non-focal, and there are no signs of meningeal irritation. Funduscopy reveals papilledema. MRI of the brain is normal. Which of
the following complications is likely to develop if this patient is left untreated?
- QA Seizures
- 0 B. Blindness
- 0 C. lntracranial bleed
- 0 D. Paralysis
- 0 E. Urinary inconence
0 voters
25-hour-old lull-term boy in the nursery is vomiting. His mother had attempted to breastfeed but stopped when he developed "'bright
green" vomiting. The infant has not yet had a bowel movement. Maternal prenatal screening was positive for a copy of the
CFTRAF508 mutation. His paternal uncle had cystic fibrosis and died of respiratory failure. The boy’s temperature is 36.7 C (98 F),
blood pressure is 80/50 mm Hg, pulse is 154/min, and respirations are 46/min. Examination shows a crying infant with a mar1<edly
distended abdomen. Rectal examination shows no stool in the rectal vault. Feeds are held and a nasogastric tube is placed for
decompression. X- rays of the abdomen show mar1<edly dilated loops of bowel with no rectal air and no free air. Which of the following
is the most appropriate next step in management of this patient?
- Q A Anorectal manometry
- 0 8. Computed tomography of the abdomen
- 0 C . Contrast enema
- 0 0. Rectal biopsy
- 0 E. Serum lipase
- 0 F. Surgery
- 0 G. Sweat chloride testing
0 voters