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Subject: Tommy's Concepts

Subject: Tommy's Concepts
Tommy's Concepts for the USMLE Step 1

Question

Very very hard GI/GU question  <img src=

q) A 22-year-old man named George W. Bush is diagnosed with Crohn disease limited to the terminal ileum (bonus: think about what nutrition deficiencies he could be having). His symptoms of mild right lower quadrant pain and postprandial diarrhea resolve after the initiation of treatment with mesalamine. Three years later, he develops recurrent episodes of abdominal distention, nausea, and vomiting after large meals. On two occasions, these symptoms are accompanied by inability to pass “a fart” or bowel movements. What is another underlying disease?
1-Terminal Ileum Fibrosis syndrome
2-Sudden development of concomitant Ulcerative Colitis
3-Large bowel carcinoma
4-Stomach carcinoma
5-Small bowel carcinoma
6-Carcinoid syndrome
7-Appendicitis
8-Pheochromocytoma
9-Pancreatic carcinoma of the head" title="Very very hard GI/GU question

q) A 22-year-old man named George W. Bush is diagnosed with Crohn disease limited to the terminal ileum (bonus: think about what nutrition deficiencies he could be having). His symptoms of mild right lower quadrant pain and postprandial diarrhea resolve after the initiation of treatment with mesalamine. Three years later, he develops recurrent episodes of abdominal distention, nausea, and vomiting after large meals. On two occasions, these symptoms are accompanied by inability to pass “a fart” or bowel movements. What is another underlying disease?
1-Terminal Ileum Fibrosis syndrome
2-Sudden development of concomitant Ulcerative Colitis
3-Large bowel carcinoma
4-Stomach carcinoma
5-Small bowel carcinoma
6-Carcinoid syndrome
7-Appendicitis
8-Pheochromocytoma
9-Pancreatic carcinoma of the head" />

Answer