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

 BOF 72

 

   

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

 

 

 

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

BOF: 72

 An 18 year old male presents with a history of yellow discolouration of his eyes, passage of dark urine and fever of several days duration. He says that he has had several such episodes since childhood. One of his brothers has had a similar problem and has undergone splenectomy.

On examination he is jaundiced, febrile and there is cervical lymphadenopathy, his throat looks inflamed and his spleen is palpable.

Investigations

Hb 8.9 g/dL

WBC 6.5 x109 /L

Platelets 160 x109 /L

Bilirubin 60 µmol/L

Urine urobilinogen ++++

In this patient which of the following tests is likely to lead to a diagnosis?

a)      Gilbert’s genotyping

b)      Monospot test

c)      G6PD assay

d)     Sickling test

e)      Osmotic fragility

Back
Up
Next

Up ] Answer BOF 72 ]