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9550 Medicine

A 39-year-old man has had several weeks of fever, weight loss, and lack of energy. Three days prior to the assessment, he developed a left foot drop. Physical examination confirms left peroneal nerve damage and a bilateral sensory peripheral neuropathy in both legs. Laboratory evaluation reveals ESR of 105 mm/h, neutrophilia of 14,000, and a negative serologic test for ANCA. Eosinophil count is normal. Angiography reveals small aneurysms of the celiac and renal arteries.For the above patient with vasculitis syndrome, select the most likely diagnosis.

Apolyarteritis nodosa (PAN)
BChurg-Strauss disease
CHenoch-Schonlein purpura
Dvasculitis associated with infectious diseases
Medicine
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9558 Medicine

A previously healthy 58 years old man is admitted to the hospital because of an acute inferior myocardial infarction. Within several hours, he becomes oliguric and hypotensive (blood pressure is 90/60 mmHg). Inseion of a pulmonary aery (Swan-Ganz) catheter reveals the following pressures: pulmonary capillary wedge-4 mm Hg; pulmonary aery- 22/4 mmHg: and mean right atrial- 11 mmHg. This man would best be treated with :

AFluids
BDigoxin
CDopamine
DIntraaoic balloon counter pulsation
Medicine
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