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14142 Medicine

A 75-year-old man is bought to the hospital because of a syncopal episode. There was no incontinence or post-event confusion. On examination, his blood pressure is 140/80 mm Hg, pulse 72/min with no postural changes. His second heart sound is diminished and there is a systolic ejection murmur that radiates to the carotids. With the Valsalva maneuver, the murmur decreases in length and intensity.For the above patient with a systolic murmur, select the most likely diagnosis.

Aaortic stenosis
Bhypertrophic obstructive cardiomyopathy (HOCM)
Cmitral regurgitation (chronic)
Dtricuspid regurgitation
Medicine
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14145 Medicine

A 45 year old man presents with hematuria. Renal biopsy demonstrates a focal necrotizing glomerulonephritis with crescent formation. The patient gives history of intermittent hemoptysis and intermittent chest pain of moderate intensity. A previous chest X-ray had demonstrated 90 multiple opacities, some of which were cavitated. The patient also has chronic cold like nasal symptoms. What is the most probable diagnosis?

AAspergillosis
BPolyaeritis nodosa
CRenal carcinoma metastatic to lung
DWegener's granulomatosis
Medicine
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