Pancreatic cancer Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 65-year-old man presents to the emergency department with a 2-day history of fever reaching 39.1°C (102.4°F), and right upper quadrant pain. The patient reports unintentional weight loss of 10 kg, jaundice, and dark urine over the past 3 months. Past medical history is significant for chronic pancreatitis. BMI is 21 kg/m2. Temperature is 39.1°C (102.4°F), blood pressure is 103/69 mmHg, pulse is 124/min, respiratory rate is 20/min, and oxygen saturation is 96%. On physical examination, the patient appears ill, cachectic, and has right upper quadrant tenderness to palpation. Laboratory evaluation is significant for leukocytosis with left shift, elevated total and conjugated bilirubin, and elevated alkaline phosphatase. CT scan of the abdomen and pelvis reveals an ill-defined mass in the head of the pancreas, dilation of both the common bile duct and the pancreatic duct. IV access is established, and broad-spectrum antibiotics are initiated. Which of the following is the best next step in the management?  

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