If you find the material on this website useful, you will find that the two books ACES for PACES and KEYS to SUCCESS in Medicine complement the material on these sites and will enhance your studying and revision

Home
Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 BOF
MRCP Part 2 Images
PACES
MRCP theory examination topics
Books for MRCP
MRCP Courses
EMQS
OSCEs
Medical Finals & OSCE Courses
Recommended Reading
Forum
Links
ydr search engine
FAQ
Contributions
Authors
Privacy Policy
Contact

amazon astore

ACES for PACES

Medical Revision

Clinical Skills Blogspot

Web ydr.org.uk acesforpaces.com medicalrevision.org

BOF: 24

A 17-year-old woman presents to outpatients with a three-month history of nausea and mild abdominal discomfort. She reports no weight loss or change in bowel habit. On examination there is mild abdominal distension but no organomegaly.

Blood results:

Hb 10.8 g/dL

MCV 97 fl

WCC 6.7x109/L

Plts 267x109/L

ESR 25 mm/hr

Na 137 mmol/L

K 4.1 mmol/L

Urea 2.3 mmol/L

Creat 46 umol/L

Calcium 2.41 mmol/L

Bilirubin 7 umol/L

ALT 13 IU

Alk Phos 226 IU

Albumin 32 g/L

What investigation would you perform next?

a) Hepatic ultrasound

b) Upper GI endoscopy

c) Beta HCG

d) Plain abdominal X-ray

e) Anti endomysial antibody

 

 

 

 

 

 

 

 

 

 

 

Back
Up
Next

[ Up ] [ Answer BOF 24 ]