(Single Best Answer) Question 401: A 55-year-old woman presents with progressively deepening jaundice, uncontrollable pruritus, pain in the abdomen (right upper quadrant) and yellow coloured urine. Investigations revealed: Serum bilirubin - 19.5 mg% SGPT - 45 IU/L Serum Alkaline Phosphatase - 1225 IU/L Prothrombin Time - 25 seec Urine bile pigment - Present Urine Urobilinogen - Absent Stools - Clay coloured What is the most likely diagnosis ?
A) Viral hepatitis B) Cirrhosis of liver C) Carcinoma of head of the pancreas D) Hepato-cellular carcinoma Answer (Select an option above to get the answer):
(Single Best Answer) Question 402: A 20-year old man presents with repeated episodes of haematemesis. There is no history of jaundice or liver decompensation. On examination the significant findings include moderate splenomegaly and presence of oesophageal varices. There is no ascites or peptic ulceration. The liver function tests are normal. What is the most likely diagnosis ?
A) Extrahepatic portal venous obstruction B) Noncirrhotic portal fibrosis C) Cirrhosis D) Hepatic venous outflow tract obstruction Answer (Select an option above to get the answer):
A) Type 1 Renal tubular acidosis B) Type 2 Renal tubular acidosis C) Type 4 Renal tubular acidosis D) Bartter's syndrome Answer (Select an option above to get the answer):
A) Cerebrovascular disease B) Central nervous system neoplasia C) Degenerative disease D) Mesial temporal lobe sclerosis Answer (Select an option above to get the answer):
A) Lymphocytic pleocytosis, normal glucose level, normal or slightly elevated protein level B) Neutrophilic pleocytosis, raised glucose level, normal protein level C) Lymphocytic pleocytosis, low glucose level, low protein level D) Neutrophilic pleocytosis, normal glucose level, elevated protein level Answer (Select an option above to get the answer):