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12874 Medicine

A 35-year-old man presents with daily headache. He describes two attacks per day over the last 3 weeks. Each attack lasts about an hour and awakens him from sleep. The patient has noticed associated tearingand reddening of the right eye as well as nasal stuffness. The pain’s deep, excruciating, and limiting to the right side of the head. The neurological examination is normal. What is the most likely diagnosis ?

AMigraine headache
BTension headache
CCluster headache
DBrain tumour
Medicine
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12876 Medicine

Regarding Analgesic Nephropathy which of the following is TRUE/FALSE? 1. Small, scarred kidneys with papillary calcifications are a feature. 2. Patients usually have anuria due to papillary necrosis. 3. Individuals with analgesic nephropathy are at increased risk of a urothelial malignancy. 4. Heavy users of acetaminophen should be screened for evidence of renal disease. 5. Non-anion-gap metabolic acidosis from tubular damage is seen in analgesic nephropathy.

A1,2,3,4-True & 5-False
B1,3,4-True & 2,5-False
C1,3 -True & 2,4,5-False
D1,3,4,5-True & 2-False
Medicine
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12877 Medicine

A 60 year old male had a sudden fall in the toilet, his BP was 90/60 mm Hg and pulse was 100 per minute. His relatives repoed that his stool was black/dark in color. Fuher careful history revealed that he is a known case of hypeension and coronary aery disease and was regularly taking aspirin, atenolol and sorbitrate. The most likely diagnosis is?

AGastric ulcer with bleeding
BAcute myocardial infarction with cardiogenic shock
CAcute CVA
DPulmonary embolism
Medicine
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