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8994 Medicine

A 78 year old man who lives alone and prepares his own food is found to have ecchymotic patches over posterior aspect of his lower extremities. He has haemorrhagic areas around hair follicles, hair are fragmented and splinter haemorrhages are present in nail beds and several hematomas are present in the muscles of arms and legs. PT and CT are normal. This clinical syndrome is most likely due to :

AVitamin K deficiency
BVitamin C deficiency
CPyridoxine deficiency
DVitamin A deficiency
Medicine
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8995 Medicine

A 33-year-old cyclist is struck by a car in a head-on collision and arrives intubated to Emergency depament. Upon arrival, his Glasgow Coma Scale is 3. He has fixed and dilated pupils with absent gag reflex and with absence of spontaneous breathing effos. EEG shows isolated bursts along a flat line. What is the next step in management of this patient?

APronounce the patient as brain dead
BDo urgent craniotomy
CDo urgent ventriculostomy
DDo urgent Burr hole surgery
Medicine
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