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Pain Abdomen
(Single Best Answer) Question 1: A 45 year old female complains of lower abdominal pain and vaginal discharge. On examination there is cervicitis along with a mucopurulent cervical discharge. The gram smear of the discharge shows presence of abundant pus cells but no bacteria. The best approach to isolate the possible causative agent would be ?
A) Culture on chocolate agar supplemented with Haemin
B) Culture on McCoy cells
C) Culture on a bilayer of human blood agar
D) Culture on vero cell lines
Answer (Select an option above to get the answer):
(Single Best Answer) Question 2: A 70-yeard old male patient presented to the emergency department with pain in epigastrium and difficult in breathing for 6 hours. On examination, his heart rate was 56 per minute and the blood pressure was 106/60 mm Hg. Chest examination was normal. The patient has been taking omeprazole for gastroesophageal reflux disease for last 6 months. What should be the initial investigation ?
A) An ECG
B) An upper GI endoscopy
C) Urgent ultrasound of the abdomen
D) An x-ray chest
Answer (Select an option above to get the answer):
(Single Best Answer) Question 3: A 50-year old lady presented with history of pain upper abdomen, nausea, and decreased appetite for 5 days. She had undergone cholecystectomy 2 years back. Her bilirubin was 10 mg/dl, SGOT 900 IU/l SGPT 700 IU/l and serum alkaline phosphatase was 280 IU/l. What is the most likely diagnosis ?
A) Acute pancreatitis
B) Acute cholangitis
C) Acute viral hepatitis
D) Posterior penetration of peptic ulcer
Answer (Select an option above to get the answer):
(Single Best Answer) Question 4: A 25 year old woman presents with recurrent abdominal pain and anemia. Peripheral blood smear shows basophilic stippling of the red blood cells. What is the most likely diagnosis ?
A) Coeliac disease
B) Hookworm infestation
C) Sickle cell disease
D) Lead poisoning
Answer (Select an option above to get the answer):
(Single Best Answer) Question 5: All of the following are indications for surgery in gastric lymphoma except ?
A) Bleeding
B) Perforation
C) Residual disease following chemotherapy
D) Intractable pain
Answer (Select an option above to get the answer):
(Single Best Answer) Question 6: A four year old boy was admitted with a history of abdominal pain and fever for two months, maculopapular rash for ten days, and dry cough, dyspnea and wheezing for three days. On examination, liver and spleen were enlarged 4 cm and 3 cm respectively below the costal margins. His hemoglobin was 10.0 g/dl, platelet count 37 x 109/L and total leukocyte count 70 x 109/L, which included 80% eosinophils. Bone marrow examination revealed a cellular marrow comprising 45% blasts and 34% eosinophils and eosinophilic precursors. The blasts stained negative for myeloperoxidase and non-specific esterase¬ and were positive for CD 19, CD 10, CD22 and CD20. Which one of the following statements in not true about this disease ?
A) Eosinophils are not part of the neoplastic clone
B) t(5; 14) rearrangement may be detected in blasts
C) Peripheral blood eosinophilia may normalize with chemotherapy
D) Inv (16) is often detected in the blasts and the eosinophils
Answer (Select an option above to get the answer):
(Single Best Answer) Question 7: A 20 year old male had pain abdomen and mild fever followed by gastroenteritis. The stool examination showed presence of pus cells and RBCs on microscopy. The etiological agent responsible is most likely to be ?
A) Enteroinvasive E.coli
B) Enterotoxigenic E.coli
C) Enteropathogenic E.coli
D) Enteroaggregative E.coli
Answer (Select an option above to get the answer):
(Single Best Answer) Question 8: A pregnant woman with fibroid uterus develops acute pain in abdomen with low grade fever and mild leucocytosis at 28 weeks. The most likely diagnosis is ?
A) Preterm labour
B) Torsion of Fibroid
C) Red degeneration of Fibroid
D) Infection in Fibroid
Answer (Select an option above to get the answer):
(Single Best Answer) Question 9: Which one of the following is not a feature of irritable bowel syndrome ?
A) Abdominal pain
B) Constipation
C) Rectal bleeding
D) Bloating
Answer (Select an option above to get the answer):
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