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THEME 4 - Diarrhoea and weight loss

Author: RxPG, Posted on Monday, October 13 @ 19:26:48 IST by RxPG  

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PLAB Part 1

Multiple Choice Test



1) A 48 year old man presents with watery stools 4 to 6 times a day, he also has abdominal cramps, flatulence and borborygmi. He has lost 20 pounds over the last 8 months. He is of Irish descent.

One answer only.
A. Inflammatory Bowel Disease
B. Tuberculous Enterocolitis
C. Cytomegalovirus Infection
D. Celiac Sprue
E. Tropical Sprue
F. Hyperthyroidism
G. Amyloidosis
H. Intestinal Lymphoma
I. Whipple's Disease
J. Chronic Pancreatitis





2) A thirty year old HIV positive man with a 3 week history of intermittent bloody diarrhea, urgency, abdominal pain and malaise. Repeated stool examinations negative for ova and parasites including multiple stool cultures for enteric pathogens.

One answer only.
A. Inflammatory Bowel Disease
B. Tuberculous Enterocolitis
C. Cytomegalovirus Infection
D. Celiac Sprue
E. Tropical Sprue
F. Hyperthyroidism
G. Amyloidosis
H. Intestinal Lymphoma
I. Whipple's Disease
J. Chronic Pancreatitis



3) A 50 year old man with diarrhea and migratory arthralgias for the last 6 months, he has lost 20 pounds in weight and relatives describe a decline in mental acuity.

One answer only.
A. Inflammatory Bowel Disease
B. Tuberculous Enterocolitis
C. Cytomegalovirus Infection
D. Celiac Sprue
E. Tropical Sprue
F. Hyperthyroidism
G. Amyloidosis
H. Intestinal Lymphoma
I. Whipple's Disease
J. Chronic Pancreatitis



4) A 28 year old man with diarrhea and crampy abdominal pain of the right lower abdomen for the last 8 weeks, he also complains of fever, anorexia and weight loss. He has not responded to antituberculous therapy for the last 3 weeks.

One answer only.
A. Inflammatory Bowel Disease
B. Tuberculous Enterocolitis
C. Cytomegalovirus Infection
D. Celiac Sprue
E. Tropical Sprue
F. Hyperthyroidism
G. Amyloidosis
H. Intestinal Lymphoma
I. Whipple's Disease
J. Chronic Pancreatitis



5) A 63 year old woman with rheumatoid arthritis for the last 20 years presents with weight loss, foul smelling diarrhea, easy bruising and peripheral edema. On examination she has waxy skin plaques especially in the axillary folds.

One answer only.
A. Inflammatory Bowel Disease
B. Tuberculous Enterocolitis
C. Cytomegalovirus Infection
D. Celiac Sprue
E. Tropical Sprue
F. Hyperthyroidism
G. Amyloidosis
H. Intestinal Lymphoma
I. Whipple's Disease
J. Chronic Pancreatitis


To discuss these EMQS please visit RxPG PLAB Forum




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