A 45-year-old woman presents with a 2-month history of worsening jaundice, itching and malaise. On examination, she has multiple localized areas of yellow pigmentation around her eyes. She has a past history of Sjögren’s syndrome but is otherwise well. What is the most likely diagnosis?()
Acute cholecystitis
B. Ascending cholangitis
C. Biliary colic
D. Primary biliary cirrhosis
E. Primary sclerosing cholangitis
A 65-year-old man has an enterocutaneous fistula originating in the jejunum secondary to inflammatory bowel disease. Which of the following would be the most appropriate fluid for replacement of his enteric losses?()
A. 5% Dextrose
B. 3% normal saline
C. Ringer lactate solution
D. 0.9% sodium chloride
E. 6% sodium bicarbonate solution
A 70-year-old male patient come to surgery outpatient department to complain fatigue and anorexia for 2 months, and he lost weight by 10kg and found a mass on the left supraclavicular fossa. On the physical examination, a 5cm hard and fixed mass could be touched, there is no palpable pain and skin redness, what is the most essential examination should be booked to get the diagnosis?()
A. Chest CT scan
B. Abdominal MRI
C. Blood routine
D. Gastric endoscope
E. Head CT scan
A 50 years old male undergoes pancreatectomy for carcinoma head of pancreas. His pre op Hb was 92g/L and during surgery he received 5 units of PRBC. In the post op period on the 2nd day he developed ECG changes. Work up is done for Myocardial infarction which is negative. What is the most common cause of ECG changes here: ()
A. Hyponatremia
B. Hyperkalemia
C. Hypokalemia
D. Hypernatremia
E. Hypercalcemia