GI questions - bumbaonline

[ArchivalUser]

Q1.A 44 yr old man presented with yellowish coloration of skin for 4 days. He also complains of generalized itching. He is getting treated for Rheumatoid arthritis for last 4 yrs.Labs suggest Bili= 7 gm/dl, direct= 5 gm/dl, raised GGT, alkaline phosphatase. Which of the following is expected in this patient?
a.Inflammatory destruction of both & extrahepatic bile ducts
b.Inflammatory destruction of intrahepatic bile duct
c.Immune destruction of both intra & extra hepatic bile ducts
d.Immune destruction of both intrahepatic bile ducts
e.Cholelithiasis induced obstruction of bile ducts.

Q2.A 54 yr old lady presented with low grade fever & upper abdominal pain.She has difficulty in having spicy foods & has cough at bedtime. On examination there is upper abdominal tenderness with no organomegaly. EKG is normal. CXR is normal. What is the best test for diagnosis in this patient?
a.Upper GI endoscopy
b.CT scan of Chest
c.Gastric pH monitoring
d.US scan of abdomen
e.Barium Swallow.

Q3.A 23 yr guy from Connecticut presented with gradual distension of abdomen & fever. He has also developed breathing difficulty over last 3 months. On examination there is increase in size of liver with free fluid in abdomen. Lung sounds has decreased in intensity. Abdomen is extremely tender to touch & bowel sounds are not audible. Labs WBC 17000, PMN 75%. US scan shows lot of fluid in abdomen. What is the drug of choice for this patient?
a.Ceftriaxone
b.Ciprofloxacin
c.Cefotaxime
d.Cefdinir
e.Pireperacillin & tazobactum
f.Meropenam

[ArchivalUser]

1 a case of primary biliary cirrhosis ans is dd
2a case of gerd.Ill go with aa
3A case of peitonitis so ee?

[ArchivalUser]

1.b PBC ... as RA is there another autoimmune disease

2. GERD...c

3. SBP...Cefotaxime...on discharge ciprofloxacin

[ArchivalUser]

for 2nd its gerd..so y not uppr GI??

[ArchivalUser]

check resources confirmatory test for GERD is 24hr pH monitoring