MCQS 334-336:A 68 year old female patient complains of continous diarrhoea at night


A 68 year old female patient complains of continous diarrhoea at night. This complication of diabetes is likely to be secondary to

a) keto acidosis
b) Nonketotic Hyperosmolarity
c) autonomic neuropathy
d) Hypoglycaemia unawareness
e) peripheral neuropathy
f) infection
g) Amytrophy
h) Focal nerve palsy
i) retinopathy
j) nephropathy



75 year old is being investigated for fatigue. Physical examination is normal. A blood film reveals an absolute lymphocytosis. These lymphocytes are smaller than normal and appear to be more fragile resulting in an appearance of nuclei smashed against the glass slide. A probable diagnosis is:

a) Chronic Lymphocytic Leukemia
b) chronic myeloid leukemia
c) Hairy Cell Leukemia
d) Acute Lymphoblastic Leukemia
e) chronic myelomonocytic leukemia
f) essential thrombocythopenia
g) essential thrombocythemia
h) Burkitt's lymphoma
i) polycythemia vera
j) agnogenic myeloid metaplasia



An eight year old boy complains of constant retrosternal burning pain. He also complains of a difficulty in swallowing and a few episodes of hematemesis. The test most likely to be beneficial in this patient is:

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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