Thank you, Dr. Ryan, for these fantastic explanations-just as helpful as your Boards and Beyond videos! I had a quick question about this case: the patient is a male over 50 with a long-standing history of GERD and a suspected precancerous lesion. These seem like strong risk factors for esophageal adenocarcinoma. Wouldn't ordering an upper GI endoscopy be appropriate in this scenario?
@@dr_spgr I agree with you and that’s part of why I don’t think this is a very good question. Without some detail of when/if he’s had an endoscopy he may need a new one. Best I can come up with is that they specifically say “initial” action. Don’t spend too much time worrying if you picked endoscopy it is a plausible answer choice.
I gave this question to the AI and this is the response after negotiation: Address the main complaint first by identifying contributing factors (e.g., lifestyle) especially after the pharmacological solutions already failing. Avoid jumping ahead with investigations unless alarm symptoms or complications are present. So bascially the question want initial action and endoscopy is "jumping ahead".
Best part in watching you is like "finally I feel understood why I got it wrong!".
Thank you, Dr. Ryan, for these fantastic explanations-just as helpful as your Boards and Beyond videos!
I had a quick question about this case: the patient is a male over 50 with a long-standing history of GERD and a suspected precancerous lesion. These seem like strong risk factors for esophageal adenocarcinoma. Wouldn't ordering an upper GI endoscopy be appropriate in this scenario?
@@dr_spgr I agree with you and that’s part of why I don’t think this is a very good question. Without some detail of when/if he’s had an endoscopy he may need a new one. Best I can come up with is that they specifically say “initial” action. Don’t spend too much time worrying if you picked endoscopy it is a plausible answer choice.
@@jryan25730 Thank you
I gave this question to the AI and this is the response after negotiation: Address the main complaint first by identifying contributing factors (e.g., lifestyle) especially after the pharmacological solutions already failing. Avoid jumping ahead with investigations unless alarm symptoms or complications are present.
So bascially the question want initial action and endoscopy is "jumping ahead".
Thank you Dr Ryan for your expertise. How could I get Free 120 for each subject of Step 1??