Amy, a 50-year-old woman, reports a recent change in her bowel habits and rectal bleeding. She has no family history of rectal or colon problems. What is the most appropriate next step for her healthcare provider?
Perform a rectal examination
Refer her to a colonoscopy immediately
Recommend increasing fiber in her diet
Prescribe anti-hemorrhoidal medication
The Correct Answer is B
A. A rectal examination may not detect lesions higher up in the colon
B. Rectal bleeding and change in bowel habits are red flags for colorectal cancer, especially in people over 50 years old. A colonoscopy is the gold standard for diagnosing colorectal cancer and other conditions affecting the colon and rectum.
C. While increasing fiber may be beneficial for overall bowel health, it is not the immediate action to take when rectal bleeding and changes in bowel habits are reported.
D. Prescribing medication without a proper evaluation could mask underlying issues and is not the appropriate initial step.
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Related Questions
Correct Answer is D
Explanation
A. There's no indication of a bacterial infection, so antibiotics are not warranted.
B. A biopsy may be considered if the diagnosis is uncertain, but it's not the first-line action.
C. Tretinoin is typically used for conditions like acne or photoaging, not for eczematous lesions.
D. Corticosteroid creams are commonly used to reduce inflammation and itching associated with eczema, making this the most appropriate action.
Correct Answer is C
Explanation
A. Wearing sunglasses is not relevant to the side effects or precautions associated with ciprofloxacin.
B. Ciprofloxacin does not cause artificial tanning.
C. Ciprofloxacin can increase sensitivity to sunlight, leading to sunburn. Using sunscreen with a high SPF can help prevent sunburn while taking this medication.
D. Sun exposure does not typically affect the effectiveness of ciprofloxacin, but it can increase the risk of sunburn due to photosensitivity.
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