Examen Único De Residencias Córdoba (Medicina) Practice Questions - Córdoba Health Residencies Single Examination (Examen Único De Residencias En Salud - Córdoba Medicina) Exam

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A 45-year-old man with a history of bicuspid aortic valve presents with a 3-week history of low-grade fever, night sweats, fatigue, and weight loss. On examination, a new 3/6 diastolic murmur is audible at the left sternal border, and subungual splinter hemorrhages are noted. Three separate sets of blood cultures obtained over 24 hours grow Streptococcus gallolyticus (formerly S. bovis). In addition to echocardiography and tailored antibiotic therapy, which diagnostic evaluation is mandatory?

Complete colonoscopy to evaluate for colorectal adenoma or carcinoma Diagnostic lumbar puncture to rule out cryptococcal meningitis Urgent bone marrow biopsy to assess for acute myeloid leukemia Endoscopic retrograde cholangiopancreatography (ERCP) for biliary tract evaluation

Correct Answer:

Complete colonoscopy to evaluate for colorectal adenoma or carcinoma

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