03-02-2016, 06:58 PM
NBME 4 Q
A 53 y/o man comes to the physician because of a 3 month history of increased abdominal girth, hemorrhoids, and swelling of his feet after periods of standing or sitting. He has a 20 year history of alcoholism and hypertension. Current medications include hydrochlorothiazide (25 mg daily). Physical examination shows scleral icterus and jaundice. The abdomen is round and distended, with a fluid wave and a palpable slpleen tip. Which of the following best explains the patients's splenomegaly?
A) Ascites
B) Stenosis of splenic artery
C) Decreased osmotic pressure in the hepatic veins
D) Hyperactivity of splenic macrophages
E) Hyperplasia in the periarterial lymphatic sheaths
F) Increased hydrostatic pressure in the splenic vein
G) Hyperplasia in the peripheral white pulp
H) Blockage of afferent splenic lymphatics
A 53 y/o man comes to the physician because of a 3 month history of increased abdominal girth, hemorrhoids, and swelling of his feet after periods of standing or sitting. He has a 20 year history of alcoholism and hypertension. Current medications include hydrochlorothiazide (25 mg daily). Physical examination shows scleral icterus and jaundice. The abdomen is round and distended, with a fluid wave and a palpable slpleen tip. Which of the following best explains the patients's splenomegaly?
A) Ascites
B) Stenosis of splenic artery
C) Decreased osmotic pressure in the hepatic veins
D) Hyperactivity of splenic macrophages
E) Hyperplasia in the periarterial lymphatic sheaths
F) Increased hydrostatic pressure in the splenic vein
G) Hyperplasia in the peripheral white pulp
H) Blockage of afferent splenic lymphatics
