9. Mr. George Thomas, an 85-year-old man is brought to the emergency department because of acute abdominal pain and progressive abdominal distention. He is a resident of a local nursing home. He has not been eating because of progressive nausea. Abdominal radiographs reveal a massively sigmoid colon. What is the initial treatment for this patient?
a. Gastrografin enema
b. High-fiber diet
c. Lactulose
d. Rectal tube decompression
e. Surgical resection
10. Ms. Lisa Moore, a 41-year-old woman complains of constant headaches for the past 6 months. She has also complained of female infertility and has been unable to have children, despite having unprotected sexual intercourse with her husband during the past 15 years. Physical examination reveals deficits in the extraocular movements bilaterally. Breast examination reveals bilateral female gynecomastia. Which of the following laboratory tests would be most useful in diagnosing this patient?
a. Ferritin
b. Hemoglobin
c. Hematocrit
d. Iron
e. Prolactin
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