A 28 years old man presents with sudden onset abdominal pain. He has no significant history apart from an appendectomy when he was 12. His Abdominal X-ray finding is below.
What is the single most appropriate next step in the management?
Options:
A. Urgent Laparotomy
B. Urgent Colonoscopy
C. Insert Nasogastric tube
D. High dose Laxatives
E. USG Abdomen
He has no significant history apart from an appendectomy when he was 12. His Abdominal X-ray finding is below.
What is the single most appropriate next step in the management?
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A 50 year old man with worsening dyspepsia, on PPI and previously treated for duodenal ulcer. Endoscopy showing gastric, duodenal and oesophageal ulcers. What is the investigation of choice?
A. CT abdomen
B. Test for H pylori
C. Endoscopy with biopsy
D. Barium study
E. Serum gastrin levels -
A middle aged plumber, who is a known case of COPD and has a history of smoking, presents with breathlessness and chest pain on inspiration. CXR shows :
What is the most likely diagnosis?
A. Heart failure
B. Bronchiectasis
C. Pulmonary edema
D. Mesothelioma. -
A 19 years old tall man presents with sudden onset of chest pain. His X ray is below. What is the most probable diagnosis?
A. Pneumothorax
B. Pulmonary Embolism
C. Aortic Aneurysm
D. Aortic Dissection
E. Myocardial Infarction
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A patient with Parkinson’s disease has been on NG tube for the past ten days. He is still unable to swallow. What would be the best management for him?
A. Gastrostomy
B. Colonostomy
C. Duodenostomy
D. Total parenteral nutrition
E. Ileostomy -
A 6 year old girl has been brought to the hospital after being stung by a bee. She is complaining of generalized itching, rashes, redness and has developed stridor. What is the most appropriate treatment?
A. Oral Chlorpheniramine
B. IV Chlorpheniramine
C. IM Adrenaline
D. IV Adrenaline
E. Reassurance -
Patient had all signs of cerebello-pontine angle (CPA) tumour facial numbness, tinnitus and vertigo. What is the best investigation?
A. CT scan
B. MRI Brain
C. MRI Head
D. X-ray head