CSHK Part 2 EMQ Practice Questions - MHKICBSC Part 2 - Clinical Problem Solving EMQ Exam

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A 58-year-old male presents with progressive dysphagia, early satiety, and a weight loss of 8 kg over the past 3 months. Upper gastrointestinal endoscopy reveals a large, ulcerated mass in the gastric body. Biopsies confirm gastric adenocarcinoma. What is the most appropriate next step to assess for distant metastases and determine the initial management strategy?

Contrast-enhanced CT scan of the chest, abdomen, and pelvis Positron emission tomography (PET/CT) scan Diagnostic laparoscopy with peritoneal washing Endoscopic ultrasound (EUS) of the upper GI tract

Correct Answer:

Contrast-enhanced CT scan of the chest, abdomen, and pelvis

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