A case of carcinoma cervix is found in altered sensorium and is having hiccups. Likely cause is:

Ans. is b, i.e. UremiaRef: Jeffcoate 7th/ed, p472"The ultimate cause of death in their order of frequency and importance - uraemia cachexia associated with recurrent haemorrhage, infection and interference with nutrition, complication of treatment and remote metastasis to vital organs (rare)."Hiccups and altered sensorium are nonspecific signs of uraemia and so the likely cause in this case is uraemia.Also KnowUraemia in carcinoma cervix occurs when tumor involves ureter and results in blockage.* M/C cause of death in cancer cervix = Renal failure/uremia* Second M/C cause of death in cancer cervix = Hemorrhage.