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Question

Which one of the following is unlikely to be associated with eosinophilia ?

The correct answer is
Tuberculosis

Eosinophilia: Identifying Unlikely Association

Eosinophilia refers to an elevated level of eosinophils, a type of white blood cell, in the blood. It is often triggered by parasitic infections, allergic reactions, and certain other conditions.

Analysis of Options

  • Loeffler's syndrome: This condition involves lung inflammation and eosinophilia, frequently caused by parasitic infections migrating through the lungs. It is associated with eosinophilia.
  • Toxocariasis: A parasitic disease caused by roundworms. Eosinophilia is a common finding in patients with Toxocariasis.
  • Trichinella spiralis: Infection with this parasite (trichinosis) typically leads to a significant increase in eosinophils. It is associated with eosinophilia.
  • Tuberculosis (TB): While TB involves an immune response, marked eosinophilia is not a characteristic feature. The white blood cell count in TB often shows neutrophilia or lymphocytosis rather than eosinophilia.

Conclusion

Based on the analysis, Tuberculosis (TB) is the condition least likely to be associated with significant eosinophilia compared to parasitic infections like Loeffler's syndrome, Toxocariasis, and Trichinella spiralis.

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Important Questions from General Clinical Conditions

  1. The height of the Jugular Venous Pulse is determined by :
  2. The SA node is situated at the junction of:
  3. Reverse splitting of second heart sound is most commonly seen in :
  4. A 70-year-old man with dyspnoea on exertion has been found to have a single second heart sound and a loud diamond-shaped, rough quality systolic murmur best heard at the right $2^{nd}$ intercostal space, radiating to the right carotid artery. Which one of the following is the likely diagnosis ?
  5. Consider the following statements with regard to pulmonary embolism : 

    1. Unexplained breathlessness is the most common symptom. 

    2. When congestive heart failure or pneumonia fail to improve despite standard medical treatment, occult pulmonary embolism should be considered. 

    3. Patients with high clinical likelihood of venous thromboembolism should first undergo D-dimer testing alone without obligatory imaging tests. 

    Which of the statements given above are correct?

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