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11283 Medicine

A 70 year old woman had hip surgery 2 days back for a hip fracture after a fall. There is no history of any past surgery or medication. Over the past 24 hours, she complaint of abdominal discomfo and distension. O/E- she is afebrile with: BP of 140/80 mmHg HR=110 bpm, RR=16 breaths/min She has a distended tympanic abdomen with absent bowel sounds. There is no rebound tenderness. Her erect abdominal X-ray is shown: The most likely diagnosis in this case is?

AAcalculous cholecystitis
BColonic pseudo-obstruction
CPerforated duodenal ulcer
DSmall bowel obstruction
Medicine
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11285 Medicine

A 24-year-old woman presents with foot and leg weakness that is progressively getting worse over the past 1 week. Initially, she developed tingling in her feet and noticed that they would drag, but now she has difficulty standing and walking due to the leg weakness. Three weeks ago she had a “chest cold,” which resolved on its own. On examination, muscle bulk is normal, motor strength is two out of five in the quadriceps, and one out of five in the feet. Reflexes at the ankle and knee are absent, and sensation testing is normal. The upper limb examination is normal. The CSF protein is very high, glucose is normal, and cell count is slightly elevated. Which of the following is the most likely diagnosis?

Adiabetic neuropathy
Balcoholic neuropathy
CGuillain-Barre syndrome
Dcyanide poisoning
Medicine
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11286 Medicine

An agitated and nervous 24-year-old woman has had severe wheezing and shortness of breath for 2 days. After receiving oxygen, steroids, and salbutamol (Ventolin) in the emergency room, her breathing improves. She is still wheezing and now feels tremulous and anxious with a pulse of 110/min and respirations 30/min. Arterial blood gases on oxygen reveal a pH of 7.40, PO2 340 mm Hg, PCO2 40 mm Hg, and bicarbonate of 24 mEq/L. She is hospitalized for further treatment. Which of the following treatments or medications should be avoided in her?

Atheophylline
Bsedatives
Ccorticosteroids
Dsympathomimetic amines
Medicine
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