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11989 Medicine

A 30-year-old woman presents to the clinic complaining of fatigue. In addition, she reports that her urine is very dark and “tea color” like, and today her partner commented that her eyes look yellow. Her past medical history is significant for myasthenia gravis for which she is taking azathioprine and pyridostigmine. Laboratory investigations reveal findings in keeping with autoimmune hemolytic anemia. The chest x-ray (CXR) reveals an anterior mediastinal mass. Which of the following is the most likely diagnosis?

Athymoma
Bnodular sclerosing Hodgkin disease
Csmall cleaved cell non-Hodgkin lymphoma
Dteratoma
Medicine
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11990 Medicine

A 54-year-old obese man was diagnosed with NIDDM 1 year earlier. He was staed on glipizide and metformin. His other medications are propranolol and nifedipine for hypeension, and naproxen, which he began 2 weeks ago for severe osteoahritis. His BP is 154/92. His BUN is 29 mg/dL and a creatinine of 1.8 mg/dL; both had been normal 1 year earlier. Which medications are most likely responsible for the increase in BUN and creatinine?

AGlipizide
BMetformin
CNaproxen
DNifedipine
Medicine
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