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Diarrhoea
(Single Best Answer) Question 1: A child presents with diarrhea and peripheral circulatory failure. The arterial pH is 7.0, PCO2 15 mm Hg and PO2 76 mm Hg. What will be the most appropriate therapy ?
A) Sodium bicarbonate infusion
B) Bolus of Ringers lactate
C) Bolus of hydroxyethyl starch
D) 5 % Dextrose infusion
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A patient of Acute lymphocytic leukemia with fever and neutropenia develops diarrhoea after administration of amoxicillin therapy, which of the following organism is most likely to be the causative agent ?
A) Salmonella typhi
B) Clostridium difficile
C) Clostridium perfringens
D) Shigella flexneri
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: All of the following are features of Zollinger Ellison syndrome except ?
A) Intractable peptic ulcers
B) Severe diarrhoea
C) Beta cell tumors of the pancreas
D) Very high acid output
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: A newborn infant refuses breast milk since the 2nd day of birth, vomits on force-feeding but accepts glucose-water, develops diarrhoea on the third day, by the 5th day she is jaundiced with liver enlargement and eyes show signs of cataract. Urinary reducing sugar was positive but blood glucose estimated by glucose oxidation method was found low. The most likely cause is deficiency of ?
A) Galactose-1-phosphate uridyl transferase
B) Beta galactosidase
C) Glucose-6-phosphatase
D) Galactokinase
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: A 6-month old infant presents to the 'diarrhoea clinic' unit with some dehydration. The most likely organism causing diarrhoea is ?
A) Entamoeba histolytica
B) Rotavirus
C) Giardia lamblia
D) Shigella
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: A 41 year old male patient presented with recurrent episodes of bloody diarrhoea for 5 years. Despite regular treatment with adequate doses of sulfasalazine, he has had several exacerbations of his disease and required several weeks of steroids for the control of flares. What should be the next line of treatment for him ?
A) Methotrexate
B) Azathioprine
C) Cyclosporine
D) Cyclophosphamide
Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: A normal anion gap metabolic acidosis occurs in patients with ?
A) Diarrhoea
B) Diabetic ketoacidosis
C) Methyl alcohol poisoning
D) Acute renal failure
Answer (Select an option above to get the answer):
(Single Best Answer) Question 8: A child was diagnosed to be suffering from diarrhoea due to Camplyobacter jejuni. Which of the following will be the correct enviornmental conditions of incubation of the culture plates of the stool sample ?
A) Temperature of 42°C and microaerophilic
B) Temperature of 42°C and 10% carbondioxide
C) Temperature of 37°C and microaerophilic
D) Temperature of 37°C and 10% carbondioxide
Answer (Select an option above to get the answer):
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