MCQS 259-261:An elderly gentleman has a history of a very long-standing mild depression of mood which i never required treatment

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Question:259
A 60 year old male carpenter has been heavily drinking since he was 15. He has long standing complaints of weakness and weight loss. His condition worsens and he develops extreme nausea, anorexia and abdominal pain. On physical exam, his liver is enlarged and firm. He has numerous spider nevi. His laboratory results show a macrocytic anemia, elevated liver enzymes, elevated alkaline phosphatase and a negative alpha fetoprotein. What is the most likely condition?

a) pancreatic carcinoma
b) hemochromatosis
c) Laennec's cirrhosis
d) hepatitis A
e) hepatocellular carcinoma
f) Rotor's Syndrome
g) primary biliary cirrhosis
h) Gilbert's Syndrome
i) hepatitis B
j) hemolysis

Question:260
An elderly gentleman has a history of a very long-standing mild depression of mood which i never required treatment. He has led a normal life. This mild depression could be traced back to his early adult life. This is best described as

a) panic disorder
b) Seasonal affective disorder
c) adjustment disorder
d) schizophrenia
e) familial depression
f) psychosomatic disorder
g) bereavement
h) dysthymia
i) clinical depression
j) Bipolar depression

 

Question:261
A patient with known bronchogenic squamous cell carcinoma complains of severe pains in his hands. Inspection of his nails is likely to reveal

a) Beau's lines
b) clubbing
c) pitting of the nails
d) longitudinal ridging
e) splinter hemorrhages
f) white nails
g) blue nails
h) yellow nails
i) onychogyrphosis
j) kolonychia


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