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MMLU / A previously healthy 24-year-old woman who is a college student comes to the…

Problem

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question

A previously healthy 24-year-old woman who is a college student comes to the office because of a 6-month history of abdominal bloating, upper abdominal discomfort, and constipation. The symptoms are more severe when she is preparing for examinations but improve after bowel movements. She takes no medications. She does not smoke or use illicit drugs. She drinks alcoholic beverages occasionally. She is 160 cm (5 ft 3 in) tall and weighs 57 kg (125 lb); BMI is 22 kg/m2 . Her pulse is 72/min, and blood pressure is 100/72 mm Hg. Physical examination, including digital rectal examination, shows no other abnormalities. A complete blood count and serum electrolyte concentrations are within the reference ranges. A urease breath test result is negative. Upper and lower endoscopies show no abnormalities. Which of the following is the most appropriate pharmacotherapy for this patient?

choices

  1. Azathioprine
  2. Infliximab
  3. Lubiprostone
  4. Mesalamine

subject

professional_medicine

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Source and history

task_id
a1888e8f-9380-5a6d-aa08-a818f1e1640c
task_key
all--test--a1888e8f-9380-5a6d-aa08-a818f1e1640c
task_revision_id
1
config / split
all / test

Official source

initial import