EMQs in Clinical Medicine.pdf - Peshawar Medical College

158 The abdomen and surgery
70 Weight loss
A
B
C
D
E
F
ulcerative colitis
diabetes insipidus
tuberculosis
renal carcinoma
carcinoma of the stomach
coeliac disease
G
H
I
J
K
L
diabetes mellitus
pancreatic carcinoma
thyrotoxicosis
irritable bowel syndrome
anorexia nervosa
Crohn’s disease
For each clinical scenario below, give the most likely cause for the weight loss.
Each option may be used only once.
1 A 26-year-old woman complains of weight loss associated with diarrhoea and
palpitations. Her pulse is irregular.
2 A 30-year-old Asian man complains of fever, weight loss, night sweats and
persistent cough.
3 A 55-year-old woman presents with abdominal pain, weight loss and fatty
stools. She also complains of extremely uncomfortable itchy blisters on her
knees and elbows.
4 A 10-year-old boy presents with a history of weight loss and excessive thirst.
5 A 24-year-old woman complains of tiredness and difficulty in concentrating at
university. On examination she has marked weight loss and lanugo hair. Blood
tests reveal a mild hypokalaemia.
Answers: see page 184.