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1. What is the name of this media?

TCBS

2. 1. A 65-year-old man is admitted with rectal bleeding. He noticed a significant


amount of blood in the toilet after going to the bathroom this morning and had some
mild cramping just before that bowel movement. His past medical history is positive
for coronary artery disease (has had stents placed and is on aspirin and clopidogrel)
and osteoarthritis for which he has been taking ibuprofen. He denies weight loss and
has no previous history of bleeding. On examination he is slightly diaphoretic. Vital
signs are BP 124/72 and pulse 88 with the patient supine, BP 94/52 and pulse 110
with the patient standing. Abdomen is nontender and nondistended. NG aspirate is
negative for occult blood. After establishing two large-bore intravenous lines,
administering an IV fluid bolus and otherwise stabilizing the patient, what will be the
most important study to perform?
3. a. Upper endoscopy
4. b. Air-contrast barium enema
5. c. Colonoscopy
6. d. X-ray of the abdomen—flat and upright
7. e. CT scan of the abdomen
8.
9. 2. A 56-year-old woman becomes the chief financial officer of a large company and,
several months thereafter, develops upper abdominal pain that she ascribes to stress.
She takes an over-the-counter antacid with temporary benefit. She uses no other
medications. One night she awakens with nausea and vomits a large volume of coffee
grounds-like material; she becomes weak and diaphoretic. Upon hospitalization, she
is found to have an actively bleeding duodenal ulcer. Which of the following
statements is true?

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