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14053 Medicine

A 22-year-old woman presents with acute vision loss and pain in the left eye, but no other symptoms. On examination she appears well, visual acuity is not possible, and she can only perceive movement and bright light. The direct papillary reflex is absent but the indirect (consensual) response is normal. The optic disc is edematous. Which of the following symptoms is also most likely present in patients with this condition?

Alimb weakness
Bhemiplegia
Ccervical myelopathy
Dsphincter impairment
Medicine
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14056 Medicine

A 40-year male patient who is a known smoker presents with fever, fatigue and complete aversion to cigarette smoking. On examination he has icterus with an enlarged tender liver. LFT shows Total bilirubin 17.5 mg% Direct bilirubin 5.5 mg% SGOT 700 IU SGPT 900 IU What investigations will you do for ruling out acute viral hepatitis?

AHBsAg, IgM anti HBc, Anti HCV, Anti HEV
BAnti HAV, HBsAg, IgM Anti HBc, Anti HCV
CHBAg, IgM anti HBc, Anti HDV, Anti HCV, Anti HEV
DAnti HAV, IgM anti HBc, ANti HCV, Anti HEV
Medicine
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14057 Medicine

A 25-year-old man presents to the clinic for evaluation of infertility. He has a lifelong history of a productive cough and recurrent pulmonary infections. On his review of symptoms he has indicated chronic problems with abdominal pain, diarrhea, and difficulty gaining weight. He also has diabetes mellitus. His chest x-ray suggests bronchiectasis. Which is the most likely diagnosis?

AChronic obstructive pulmonary disease (COPD)
BImmunoglobulin deficiency
CCystic fibrosis
DWhipple disease
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