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Medicine General b85898f2

Investigation of choice for amoebic liver abscess: March 2012

A
Demonstration of parasites in stool
B
Serum Entamoeba antibodies
C
Aspiration of cyst fluid
D
X-ray abdomen
High-Yield Explanation
Ans: B i.e. Serum Entamoeba antibodies Diagnosis of amoebic liver disease Analysis of serum for Entamoeba antibodies by immunoassay carries 99% sensitivity and more than 90% specificity, and is more accurate than stool analysis in amoebic liver disease Diagnosis may depend on cyst aspiration revealing the classic anchovy sauce appearance of the cyst fluid

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