<prompt> A man presents with history of hemetemesis of about 500 ml of blood. On examination, spleen is palpable 5 cms below the left costal margin. The most likely diagnosis is:Poal HypeensionGastric ulcerDrug inducedMallory Weiss Tear  <response>: Answer is A Poal Hypeension Hemetemesis in a patient with palpable splenomegaly suggests a diagnosis of variceal blood secondary to poal hypeension. Hemetemesis from Gastric ulcer, Mallory Weiss tear andor drug induced gastritis is not associated with splenomegaly. 