nbme 2 (3.11) - reh

[ArchivalUser]

3.11. A previously healthy 85-year-old man has had abdominal distentlon, decreased caliber of stools, and
decreased appetite over the past 2 weeks and a 9-kg (20-lb) weight loss over the past 3 months. On
sigmoldoscopy, he Is found to have a constricting adenocarclnoma of the sigmold colon, Imaging
studies show three 1-cm metastases to the liver. Which of the following Is the most appropriate next
step In management?

A) No treatment
B) Radiation therapy
C) Chemotherapy
D) Combination radiation therapy and chemotherapy

[ArchivalUser]

no treatment.
treating this patient will shorten his life ,do not uthink so.still not sure.

[ArchivalUser]

and i think the best treatment here is paliative treament which mainly has morphine and trying to overcome the obstruction,i think this is not there so a is good thing to say bcz we wont rx the ca but just paliat in anyhow.