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10202 Medicine

A 67-year-old man presents to your office after community ultrasound screening revealed an aortic aneurysm measuring 3.0×3.5 cm Physical examination confirms a palpable, pulsatile, nontender abdominal mass just above the umbilicus. The patient’s medical conditions include hypertension, hyperlipidemia, and tobacco use. What is the best recommendation for the patient to consider?

AWatchful waiting is the best course until the first onset of abdominal pain
BSurgery is indicated now except for the excess operative risk represented by the patient's hypertension and tobacco use
CSerial follow-up with ultrasound, CT, or MRI is indicated, with the major determinant for surgery being aneurysmal size greater than 5.5 cm
DSerial follow-up with ultrasound, CT, or MRI is indicated, with the major determinant for surgery being involvement of a renal artery
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10203 Medicine

Kinky hair disease is a disorder where an affected child has peculiar white stubby hair, does not grow, brain degenration is seen and dies by age of two years. Mrs A is hesitant about having children because her two sisters had sons who had died from kinky hair disease. Her mother’s brother also died of the same condition. Which of the following is the possible mode of inheritance in her family?

AX-linked recessive
BX-linked dominant
CAutosomal recessive
DAutosomal dominant
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