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Skyscape - USMLE® Question of the Week

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A 65-year-old man is evaluated in the clinic due to several months of abdominal pain and vomiting. The pain starts 2 to 3 hours after meals, is characterized as crampy, and is often associated with bilious vomiting. Lately, the patient has been tolerating only liquids and has consequently lost 12 lbs. in the past 4 months. On physical examination, he has mild epigastric tenderness on deep palpation. Contrast-enhanced CT scan of the abdomen shows an irregular mass in the third portion of the duodenum that is infiltrating beyond the gut wall. If this mass continues to enlarge, which of the following structures is most likely to be compromised in this patient?

A Common bile duct
B Gastroduodenal artery
C Portal vein
D Superior mesenteric artery
E Ureter


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iOS & Android Apps

First Aid Q&A for the USMLE Step 1
980+ total questions*
USMLE Step 2 CK with First Aid Q&A for the USMLE Step 2 CK
1000+ total questions*
Board Review Series - Pathology
450 Questions, Ans and Rationales
First Aid for the USMLE Step 1 2020
First Aid for the USMLE Step 1
Netters Anatomy Atlas, USMLE, Clinical
Includes Netters Anatomy Atlas
Gray's Anatomy for Students Flash Cards
Anatomy Flash Cards
* In app purchase required

Tutors

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