51- Which ONE statement is true regarding the treatment of iron deficiency anaemia:
1) iron is absorbed in the distal jejunum
2) absorption of iron is increased by ascorbic acid
3) sustained release iron is a useful way of giving larger doses
4) ferrous sulphate 200mg has less elemental iron than the same dose of ferrous gluconate
5) parenteral iron is indicated when the anaemia responds slowly to oral iron
Answers-2
52- A 35 year old woman with alcoholic cirrhosis is admitted with deteriorating encephalopathy and abdominal discomfort. An ascitic tap revealed a polymorphonuclear cell count of 350 cells per mm3.
Which of the following is the most appropriate therapy?
1) Intravenous amoxicillin
2) Intravenous cefotaxime
3) Intravenous metronidazole
4) Oral neomycin
5) Oral norfloxacin
Answers-2
53- A 56-year-old man from Thailand presented with abdominal pain and a mass in the right upper quadrant. He reported that he had been diagnosed with viral hepatitis several years previously.
Investigations showed:
Serum alpha-fetoprotein 13,500 IU/L (< 10)
What is the most likely underlying viral infection?
1) Hepatitis A virus
2) Hepatitis B virus
3) Hepatitis C virus
4) Hepatitis D virus
5) Hepatitis E virus
Answers-2
54- A 58-year-old man has had an enlarging abdomen for several months. He has experienced no abdominal or chest pain. On physical examination he has a non-tender abdomen with no masses palpable, but there is a fluid thrill. An abdominal Ultrasound Scan shows a large abdominal fluid collection with a small cirrhotic liver. A chest X-ray shows a globally enlarged heart. Which of the following conditions is most likely to be present?
1) Dilated cardiomyopathy
2) Lymphocytic myocarditis
3) Myocardial amyloid deposition
4) Nonbacterial thrombotic endocarditis
5) Severe occlusive coronary atherosclerosis
Answers-1
55- Which of the following is true of Spontaneous bacterial peritonitis?
1) A survival rate of over 50% is expected at one year
2) Gentamicin is the treatment of choice
3) is characteristically caused by aerobic bacteria.
4) is diagnosed by culture of ascitic fluid.
5) is due to intestinal perforation
Answers-3
56- A 68 year old male presents with alcoholic cirrhosis complicated by mild ascites. Which of the following features is likely in this patient?
1) Increased serum sodium
2) Increased vascular resistance
3) Reduced urinary potassium excretion
4) Reduced renin concentrations
5) Reduced urinary sodium excretion
Answers-5
57- A 28-year-old lady develops abdominal pain, jaundice and ascites worsening over a week. She drinks ten units of alcohol each week and takes the oral contraceptive pill. Which of the following findings would make a diagnosis of hepatic vein thrombosis (Budd-Chiari syndrome) MOST likely?
1) alanine aminotransferase of 345 U/L (5 - 35)
2) acute liver failure
3) ankle oedema
4) ascites fluid protein of 38 g/L
5) tender enlarged liver
Answers-5
58- A 45 year old man was receiving phenytoin for long-standing epilepsy. He admitted to heavy alcohol consumption. Examination revealed no focal or neurological signs, 3cm hepatomegaly but no splenomegaly.
Investigations showed:
Haemoglobin 10.0 g/dL (13-18),
MCV 122 fL (80-96),
White cell count 2.2 x 109/L (4-11),
Platelet count 90 x 109/L (150-400).
What is the most likely explanation for these results?
1) Alcoholic liver disease.
2) Aplastic anaemia.
3) Folate deficiency.
4) Hypothyroidism.
5) Scurvy.
Answers-1
59- Which of the following is true concerning a hepatitis E infection?
1) It can be transmitted with hepatitis B.
2) It is a recognised cause of chronic liver disease.
3) CT scan of the liver with contrast shows diagnostic appearances.
4) The incidence of chronic liver disease is reduced by administration of alpha interferon.
5) It does not result in a carrier state.
Answers-5
60- Which of the following statements is correct of hepatitis C virus infection?
1) Cell cultures of virus are routinely used to assess response to drug therapy
2) High antibody titres are an indication for therapy
3) Less than 5% of cases lead to chronic infection
4) More likely to be transmitted by the sexual route than hepatitis B virus
5) Treatment with ribavirin and interferon alpha is more effective than interferon alpha alone
Answers-5
1) iron is absorbed in the distal jejunum
2) absorption of iron is increased by ascorbic acid
3) sustained release iron is a useful way of giving larger doses
4) ferrous sulphate 200mg has less elemental iron than the same dose of ferrous gluconate
5) parenteral iron is indicated when the anaemia responds slowly to oral iron
Answers-2
52- A 35 year old woman with alcoholic cirrhosis is admitted with deteriorating encephalopathy and abdominal discomfort. An ascitic tap revealed a polymorphonuclear cell count of 350 cells per mm3.
Which of the following is the most appropriate therapy?
1) Intravenous amoxicillin
2) Intravenous cefotaxime
3) Intravenous metronidazole
4) Oral neomycin
5) Oral norfloxacin
Answers-2
53- A 56-year-old man from Thailand presented with abdominal pain and a mass in the right upper quadrant. He reported that he had been diagnosed with viral hepatitis several years previously.
Investigations showed:
Serum alpha-fetoprotein 13,500 IU/L (< 10)
What is the most likely underlying viral infection?
1) Hepatitis A virus
2) Hepatitis B virus
3) Hepatitis C virus
4) Hepatitis D virus
5) Hepatitis E virus
Answers-2
54- A 58-year-old man has had an enlarging abdomen for several months. He has experienced no abdominal or chest pain. On physical examination he has a non-tender abdomen with no masses palpable, but there is a fluid thrill. An abdominal Ultrasound Scan shows a large abdominal fluid collection with a small cirrhotic liver. A chest X-ray shows a globally enlarged heart. Which of the following conditions is most likely to be present?
1) Dilated cardiomyopathy
2) Lymphocytic myocarditis
3) Myocardial amyloid deposition
4) Nonbacterial thrombotic endocarditis
5) Severe occlusive coronary atherosclerosis
Answers-1
55- Which of the following is true of Spontaneous bacterial peritonitis?
1) A survival rate of over 50% is expected at one year
2) Gentamicin is the treatment of choice
3) is characteristically caused by aerobic bacteria.
4) is diagnosed by culture of ascitic fluid.
5) is due to intestinal perforation
Answers-3
56- A 68 year old male presents with alcoholic cirrhosis complicated by mild ascites. Which of the following features is likely in this patient?
1) Increased serum sodium
2) Increased vascular resistance
3) Reduced urinary potassium excretion
4) Reduced renin concentrations
5) Reduced urinary sodium excretion
Answers-5
57- A 28-year-old lady develops abdominal pain, jaundice and ascites worsening over a week. She drinks ten units of alcohol each week and takes the oral contraceptive pill. Which of the following findings would make a diagnosis of hepatic vein thrombosis (Budd-Chiari syndrome) MOST likely?
1) alanine aminotransferase of 345 U/L (5 - 35)
2) acute liver failure
3) ankle oedema
4) ascites fluid protein of 38 g/L
5) tender enlarged liver
Answers-5
58- A 45 year old man was receiving phenytoin for long-standing epilepsy. He admitted to heavy alcohol consumption. Examination revealed no focal or neurological signs, 3cm hepatomegaly but no splenomegaly.
Investigations showed:
Haemoglobin 10.0 g/dL (13-18),
MCV 122 fL (80-96),
White cell count 2.2 x 109/L (4-11),
Platelet count 90 x 109/L (150-400).
What is the most likely explanation for these results?
1) Alcoholic liver disease.
2) Aplastic anaemia.
3) Folate deficiency.
4) Hypothyroidism.
5) Scurvy.
Answers-1
59- Which of the following is true concerning a hepatitis E infection?
1) It can be transmitted with hepatitis B.
2) It is a recognised cause of chronic liver disease.
3) CT scan of the liver with contrast shows diagnostic appearances.
4) The incidence of chronic liver disease is reduced by administration of alpha interferon.
5) It does not result in a carrier state.
Answers-5
60- Which of the following statements is correct of hepatitis C virus infection?
1) Cell cultures of virus are routinely used to assess response to drug therapy
2) High antibody titres are an indication for therapy
3) Less than 5% of cases lead to chronic infection
4) More likely to be transmitted by the sexual route than hepatitis B virus
5) Treatment with ribavirin and interferon alpha is more effective than interferon alpha alone
Answers-5
No comments:
Post a Comment