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Question 1 Answer saved Flag question Question text A 7-year-old boy is referred by his GP to the on-call surgeons. He has attended the practice complaining of lower central abdominal pain and vomiting. The pain was acute in onset almost 2 hours prior to presentation but is gradually worsening. He notes that there have been similar episodes of pain in the past which spontaneously resolved themselves. He has no recent history of foreign travel or unusual diet. His temperature is 38.0oC and denies any diarrhoea. Examination of his ears, nose, throat and chest is normal. In this case which of the following must you be sure to check? Question 1Answer a. Rovsing’s sign. b. Scrotal examination. c. Rectal examination. d. Full blood count. e. Abdominal X-ray. Clear my choice Question 2 Answer saved Flag question Question text For the patient with history of fever headache and neck stiffness, the most important investigation is: Question 2Answer a. Cerebrospinal fluid examination. b. Complete blood counts. c. Computerized tomography scan brain. d. Magnetic resonance imaging brain. e. X-ray skull Clear my choice Question 3 Answer saved Flag question Question text A 32-year-old man presents for a physical to obtain life insurance. He reports being in good health generally. He takes no medications. He is a 1/2 pack/day smoker and reports alcohol use of 1–2 drinks per day. On review of systems, he reports frequent heartburn for the last several months. He denies diarrhea. On physical exam, he is afebrile, blood pressure is 115/70, pulse rate is 72/min, respiratory rate is 16/min; BMI is 28. His abdominal exam reveals a non-distended abdomen without tenderness or hepatosplenomegaly.Laboratory studies: Hemoglobin: 11.0 g/dL Platelet count: 230,000/Ul Na: 138 K: 4.0 Cr: 0.8 Glucose: 85 ALT: 30 units/L AST: 25 units/L ALP: 80 units/L Bilirubin: 1.0 mg/dl What is the next best step in the management of this patient’s heartburn? Question 3Answer a. Ambulatory pH study. b. H. pylori serology. c. Perform endoscopy. d. Tissue transglutaminase IgA Ab. e. Trial of a proton pump inhibitor. Clear my choice Question 4 Answer saved Flag question Question text Which ONE of the following drug regimens should be started in acute management of deep venous thrombosis (DVT): Question 4Answer a. Start aspirin immediately. b. Start warfarin (coumadin) immediately. c. Start aspirin and warfarin together, immediately. d. Start heparin, followed by warfarin. e. Give streptokinase. Clear my choice Question 5 Answer saved Flag question Question text Which of the following conditions not associated with Helicobacter pylori ? Question 5Answer a. Gastric carcinoma b. B cell lymphoma of MALT tissue c. Gastro-esophageal reflux disease d. Atrophic gastritis e. Peptic ulcer disease Clear my choice