The Master Surgeon | Free Multiple Choice Questions (MCQs)

QUESTION NO

A 12 year old boy presented with increasing lethargy, nausea and abdominal pain which started six hours ago. On examination he was found to be very cachectic. His mother said that he was still on treatment for a chest infection which was only diagnosed the previous week and the cough had now resolved. He continues to deteriorate and now becomes more drowsy and short of breath. What is the most likely diagnosis in this young boy?

Please select one of the following:

Acute asthma
Severe sepsis from the community acquired pneumonia
A late manifestation of a congenital heart disease
Diabetic Ketoacidosis
Perforated appendix

Question By Mr. Kasun Wanigasooriya MBCHB, MRCS.