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10454 Medicine

A 26 year old man complains ofabdominal distension, swelling of the legs and easy fatigability. His blood pressure is 90/70mm Hg and pulse becomes difficult to feel on deep inspiration.JVP is grossiy elevanted and rises fuher on deep inspiration. He has pedal edema, ascites and tender hepatomegaly. Precordium is quiter with loud and some what early apical third hea sound. The probable diagnosis is –

ACor Pulmonale
BTricuspid stenosis
CConstrictive pericarditis
DPulmonary stenosis
Medicine
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10457 Medicine

A 58-year-old woman is admitted to hospital with left-sided hemiparesis. She is diagnosed with an ischemic right cortical stroke, and started on amino salicylic acid (ASA) for secondary prevention. Her carotid ultrasound reveals no arterial stenosis. She has no other significant past medical history but she does smoke half pack a day. Her fasting lipid profile is T-chol 240 mg/dL, HDL 50 mg/dL, LDL 160 mg/dL, and triglycerides 130 mg/dL.For the above patient with dyslipidemia, select the most appropriate treatment.

Afibric acid derivatives (clofibrate, gemfibrozil)
Bnicotinic acid
Cbile acid-binding resins (cholestyramine, colestipol)
Dhepatic hydroxymethylglutaryl coenzyme A (HMG-CoA) reductase inhibitors (lovastatin, simvastatin, pravastatin)
Medicine
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