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Question 1 of 50
A 30-year-old Caucasian male presents with a six month history of weight loss, abdominal pain, and
diarrhoea. On examination you note finger clubbing.
Which of the following diagnoses is least likely?
(Please select 1 option)
Coeliac disease Incorrect answer selected
Crohn's disease
Ileo-caecal TB This is the correct answer
Ulcerative colitis
Whipple's disease
Ileo-caecal TB is the only condition mentioned not associated with clubbing and would be very rare in
a young Caucasian in the United Kingdom.
Answer Statistics
1 21%
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Work Smart Exam Themes September 2010
Question 2 of 50
A 26-year-old presents in the first trimester of her first pregnancy (six weeks gestation) for an
antenatal check; she feels well.
Blood tests show a bilirubin of 40 µmol/L (1-22). The other LFTs are completely normal.
Which of the following is the most likely diagnosis?
(Please select 1 option)
Cholestasis of pregnancy
Dubin-Johnson syndrome (DJS)
Gilbert's syndrome This is the correct answer
Primary biliary cirrhosis (PBC)
Primary sclerosing cholangitis (PSC) Incorrect answer selected
Gilbert's is the most common condition causing mild isolated hyperbilirubinaemia.
PBC and PSC are much less common conditions and are almost always associated with a rise in the
other liver function tests, particularly alkaline phosphatase (ALP) and gammaglutamyltransferase
GGT).
DJS is much less common than Gilbert's.
Intrahepatic cholestasis of pregnancy is relatively common but usually occurs in the second or third
trimester; ALP is usually high, risk increases with multiparity.
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Work Smart Exam Themes September 2010
Question 2 of 50
A 26-year-old presents in the first trimester of her first pregnancy (six weeks gestation) for an
antenatal check; she feels well.
Blood tests show a bilirubin of 40 µmol/L (1-22). The other LFTs are completely normal.
Which of the following is the most likely diagnosis?
(Please select 1 option)
Cholestasis of pregnancy
Dubin-Johnson syndrome (DJS)
Gilbert's syndrome
Primary biliary cirrhosis (PBC)
Primary sclerosing cholangitis (PSC)
Please select 1 option
Skip question
Test Analysis
CorrectIncorrectPartially
Correct
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Question 1 of 185
Ten individuals are admitted to the Emergency Department with profuse vomiting after attending a
retirement dinner in a Chinese restaurant.
They all ate at roughly 7 pm and became ill at roughly midnight. Nine ate a mixture of meat and rice
dishes, except one female who ate vegetarian dishes with her rice.
Which is the most likely infective organism?
(Please select 1 option)
Bacillus cereus This is the correct answer
Clostridium perfringens
E. Coli
Salmonella enteriditis
Staphylococcus aureus Incorrect answer selected
This is a typical case of Bacillus cereus, with profuse vomiting which occurs approximately one to five
hours after eating.
In this case, it is likely that the rice had been infected.
Another possibility is Staph. aureus although this is less likely.
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Work Smart Work Hard Mock Tests Group Learning 2 Revision Advice Tags
Learning Journal
Work Smart
Question 1 of 50
A 30-year-old Caucasian male presents with a six month history of weight loss, abdominal pain, and
diarrhoea. On examination you note finger clubbing.
Which of the following diagnoses is least likely?
(Please select 1 option)
Coeliac disease Incorrect answer selected
Crohn's disease
Ileo-caecal TB This is the correct answer
Ulcerative colitis
Whipple's disease
Ileo-caecal TB is the only condition mentioned not associated with clubbing and would be very rare in
a young Caucasian in the United Kingdom.
Answer Statistics
1 21%
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Work Smart Work Hard Mock Tests Group Learning 2 Revision Advice Tags
Learning Journal
Work Smart Exam Themes September 2010
Question 2 of 50
A 26-year-old presents in the first trimester of her first pregnancy (six weeks gestation) for an
antenatal check; she feels well.
Blood tests show a bilirubin of 40 µmol/L (1-22). The other LFTs are completely normal.
Which of the following is the most likely diagnosis?
(Please select 1 option)
Cholestasis of pregnancy
Dubin-Johnson syndrome (DJS)
Gilbert's syndrome This is the correct answer
Primary biliary cirrhosis (PBC)
Primary sclerosing cholangitis (PSC) Incorrect answer selected
Gilbert's is the most common condition causing mild isolated hyperbilirubinaemia.
PBC and PSC are much less common conditions and are almost always associated with a rise in the
other liver function tests, particularly alkaline phosphatase (ALP) and gammaglutamyltransferase
GGT).
DJS is much less common than Gilbert's.
Intrahepatic cholestasis of pregnancy is relatively common but usually occurs in the second or third
trimester; ALP is usually high, risk increases with multiparity.
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Work Smart Work Hard Mock Tests Group Learning 2 Revision Advice Tags
Learning Journal
Work Smart Exam Themes September 2010
Question 2 of 50
A 26-year-old presents in the first trimester of her first pregnancy (six weeks gestation) for an
antenatal check; she feels well.
Blood tests show a bilirubin of 40 µmol/L (1-22). The other LFTs are completely normal.
Which of the following is the most likely diagnosis?
(Please select 1 option)
Cholestasis of pregnancy
Dubin-Johnson syndrome (DJS)
Gilbert's syndrome
Primary biliary cirrhosis (PBC)
Primary sclerosing cholangitis (PSC)
Please select 1 option
Skip question
Test Analysis
CorrectIncorrectPartially
Correct
, My Profile Sign Out
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Work Smart Work Hard Mock Tests Group Learning 2 Revision Advice Tags
Learning Journal
Work Smart
Question 1 of 185
Ten individuals are admitted to the Emergency Department with profuse vomiting after attending a
retirement dinner in a Chinese restaurant.
They all ate at roughly 7 pm and became ill at roughly midnight. Nine ate a mixture of meat and rice
dishes, except one female who ate vegetarian dishes with her rice.
Which is the most likely infective organism?
(Please select 1 option)
Bacillus cereus This is the correct answer
Clostridium perfringens
E. Coli
Salmonella enteriditis
Staphylococcus aureus Incorrect answer selected
This is a typical case of Bacillus cereus, with profuse vomiting which occurs approximately one to five
hours after eating.
In this case, it is likely that the rice had been infected.
Another possibility is Staph. aureus although this is less likely.
