A 60 year old man who presented with metastatic adenocarcinoma of unknown source


Question: PLAB MCQ 01

A 60 year old man who presented with metastatic adenocarcinoma of unknown source. He developed rapidly progressive weakness of his arms and was found to have a deposit of tumour in his cervical spine. This was emergently treated with radiation. He developed considerable nausea and vomiting during his therapy and at the end of the course began to have bloody vomiting. Following rescusitation with 6 units of blood what is the next test of choice?
a) Apt test
b) frontal radiograph that includes the neck, chest and entire abdomen
c) 24 hr esophageal pH probe test
d) CT abdomen
e) ultrasound of the abdomen
f) MRI of the abdomen
g) barium swallow
h) angiography
i) nuclear scan
j) endoscopy

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