All the following may be helpful in differentiating acute pancreatitis from perforation of a peptic ulcer except:

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Question 1 of 5

All the following may be helpful in differentiating acute pancreatitis from perforation of a peptic ulcer except:

Correct Answer: D

Rationale: Elevated serum amylase occurs in both acute pancreatitis and perforated peptic ulcer (due to peritoneal irritation), making it nondiscriminatory.

Question 2 of 5

Paroxysmal hypertension is characteristic of:

Correct Answer: D

Rationale: Pheochromocytoma causes episodic hypertension due to catecholamine surges.

Question 3 of 5

Deep rapid respiration is found in:

Correct Answer: A

Rationale: Deep, rapid (Kussmaul) respiration compensates for metabolic acidosis in diabetic ketoacidosis, not insulin shock.

Question 4 of 5

Charcot joint may complicate:

Correct Answer: D

Rationale: Charcot joints (neuropathic arthropathy) occur in tabes dorsalis, diabetic neuropathy, and syringomyelia due to loss of sensation.

Question 5 of 5

In Sheehan's syndrome:

Correct Answer: C

Rationale: Sheehan's syndrome (pituitary necrosis) causes low metabolic rate and low I^131 uptake from secondary hypothyroidism.

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