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

 EMQ 28



Preparing for MRCP
Best of Five 1
Best of Five 2
Best of Five 3
Best of Five 4
BOF( Guest )
MRCP Part 2 Images
MRCP theory examination topics
Books for MRCP
MRCP Courses
Medical Finals & OSCE Courses
Recommended Reading
ydr search engine
Privacy Policy


amazon astore


Medical Revision

Clinical Skills Blogspot




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

EMQ: 28

Loss of Weight

a)      Achalasia of the cardia

b)      Carcinoma of the stomach

c)      Bowel cancer with liver metastases

d)      Crohn’s disease

e)      Ulcerative colitis

f)        Coeliac disease

g)      Short gut syndrome

h)      Oesophageal cancer

i)        Peptic stricture of the oesophagus

j)        Giardiasis

1) A 20-year-old Irish female presents with loose motions, mouth ulcers and an itchy rash. The stools are bulky and difficult to flush away.

On examination she appears to have lost weight and she has a vesicular rash over her lower back. Most of vesicles have been scratched away leaving crusts.

Investigations reveal a macrocytic anaemia.

2) A 24-year-old female presents with a rash over her lower legs. She gives a long-standing history of diarrhoea and abdominal pain. She has lost a considerable amount of weight.

On examination she appears to have lost weight, there are tender erythematous nodules over her shins and there is a mass in the right iliac fossa.

3) A 67-year-old male presents with progressive dysphagia over several months duration. The dysphagia affects solid more than liquids. He smokes 20 cigarettes a day and drinks 35 units of alcohol a week.

On examination he looks emaciated and has hepatomegaly.

4) A 70-year-old female presents with severe anorexia and loss of weight. On examination she looks emaciated and has a palpable lymph node in the right supraclavicular region.

5) A 35-year-old female presents with loss of weight and diarrhoea. She has had multiple operations for Crohn’s disease of the small and large bowel.

On examination she looks emaciated, there are multiple scars on her abdominal wall.

There are no peripheral signs of chronic inflammatory disease and investigations reveal that inflammatory markers are not raised


Up ] Answer EMQ 28 ]