QUESTION 1
46 years old female presenting with a history of pruritis for the last
2 years her blood investigations shows the following.

AST 110
ALT 130
ALKALINE PHOSPHATASE 800
IgM ELEVATED
BILIRUBIN  NORMAL

what is the most likely diagnosis ?
62 years old male presented with heartburn related to meals and lying
down and excessive salivation he also complained about dysphagia. what is
the next step of managment ?

B- CHRONIC HEPATITIS C

C- PRIMARY BILIARY CIRRHOSIS

D- PRIMARY SCLEROSING CHOLANGITIS
QUESTIONS 2

B- A TIAL OF OMEPRAZOLE

C- A TRIAL OF RANITIDINE

D- OESOPHAEAL MANOMETRY

E- UPPER GIT ENDOSCOPY
QUESTION 3
which of the following is indication for liver transplantation ?

B - PARTIAL THROBOBLASTIN TIME > 120 s

C- AST > 350

D- ALT > 350

E- GRADE II ENCEPHALOPATHY
QUESTION 4
40 years old  male was diagnosed wih whipple's disease what
is treatmet of choice ?
A- CEFTIAXONE IV FOR 2 WEEKS THEN CO-TRIMOXAZOLE FOR ONE
YEAR

B- CIPROFLOXACIN FOR ONE WEEK THEN  CO-TRIMOXAZOLE FOR 6
MONTHS

C- MITRONIDAZOLE FOR 2 WEEKS THEN CIPROFLOXACIN ORAL FOR
ONE YEAR

D-AMOXICILLIN IV FOR 2 WEEKS THEN CIPROFLOXACIN ORAL FOR
ONE YEAR
QUESTION 5
37 years old female presented with history of epigastric  pain and
bloating associated with meals for the last 4 months there is no
history of weight loss or anorexia.no dysphagia. the patient was
suspected to have dyspepsia. what is the intial mangement ?
A- UPPER GIT ENDOSCOPY

B- TEST FOR HELICOBACTER PYLORI

C- Magnesium trisilicate

D- LANSOPRAZOLE

E- EMPIRICAL TRIPLE THERAPY
QUESTION 6
all of the following can preciptate symptoms in coeliac
disease except ?
A- WHEAT

B-BARLEY

C- RYE

D- MAIZE

E-OATS
abdomina pain for the last two day ascitic tap was done which
showed polymorphoneuclear leucocytosis  310per mm culture was
positive for E.coli. what is the treatment of choice ?

B- NORFLOXACIN

C-CEFOTAXIME

D- CLINDAMYCIN

E- METRONIDAZOLE
all of the following is considered poor prognostic factors
in patient with cirrhosis except ?
A- NA < 110 mmol/l

B- SERUM ALBUMIN  < 25G/L

C- ENCEPHALOPATHY

D- ELEVATED INR

E- ALT > 250 iu/l
QUESTION 8
QUESTION 7
DOCTORS
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