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Endo--nice question - vl2ss
#1
A 48-year-old man comes to your office complaining of wrist pain and numbness of the thumbs and index and middle fingers of both of his hands, which has been worsening over the last 6 months. His only chronic medical condition is œslight hypertension, for which he is being treated with hydrochlorothiazide. On further questioning the patient states that he has noted progressive coarsening of his facial features, as well as an increase in his shoe size, all of which has continuously worsened. His blood pressure is 145/95 mm Hg, pulse is 95/min, respiration rate is 15/min, and he is afebrile. He has a deep, hollow-sounding voice, and you notice slight prognathism. He is alert and oriented to person, place, and time. Chest auscultation is normal, as is heart examination. The rest of his physical exam is unremarkable. Monitoring with which of the following will help prevent one of the major complications of this condition?

A. Bone density
B. Colonoscopy
C. Prolactin levels
D. Prostate-specific antigen
E. Thyroid-stimulating hormone
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#2
very tricky !!! E ?
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#3
B....colonoscopy
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#4
BB
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#5
1st - Which compl are you guys reffereing to and why Colonoscpy?

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#6
colonic polyp may predispose to colon carcinoma?????..........

but why is bone density?..........it is increased risk of osteoarthritis.....
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#7
That is a nice question did not remember that
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#8
The correct answer is B. Patients with acromegaly are more prone to developing colon cancer than the rest of the population, so monitoring with regular colonoscopies is advised in patients diagnosed with acromegaly.
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#9
very nice q..thx vl2ss
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