#february2020mccqe1
A 76-year-old man who has had multiple episodes of pancreatitis presents to his physician’s office with mild epigastric pain and 9.1-kg (20.0-lb) weight loss over the past 6 months. The patient also describes daily foul-smelling stools that “float” in the toilet bowl. The physician pulls up his electronic medical record and finds that the patient presented to the emegency department last week for the same symptoms. During that visit he had a CT of the abdomen (see image). Which of the following is the most appropriate treatment?
(A) Endoscopic retrograde cholangiopancreatography
(B) Pancreatic enzyme replacement
(C) Pancreaticogastrostomy
(D) Surgical resection of pancreas
(E) Whipple procedure
A 76-year-old man who has had multiple episodes of pancreatitis presents to his physician’s office with mild epigastric pain and 9.1-kg (20.0-lb) weight loss over the past 6 months. The patient also describes daily foul-smelling stools that “float” in the toilet bowl. The physician pulls up his electronic medical record and finds that the patient presented to the emegency department last week for the same symptoms. During that visit he had a CT of the abdomen (see image). Which of the following is the most appropriate treatment?
(A) Endoscopic retrograde cholangiopancreatography
(B) Pancreatic enzyme replacement
(C) Pancreaticogastrostomy
(D) Surgical resection of pancreas
(E) Whipple procedure
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