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15258 Medicine

A 60-year-old male patient on aspirin, nitrates, and a beta blocker, being followed for chronic stable angina, presents to the ER with a history of two to three episodes of more severe and long-lasting anginal chest pain each day over the past 3 days. His ECG and cardiac enzymes are normal. The best course of action of the following is to

AAdmit the patient and begin intravenous digoxin
BAdmit the patient and begin intravenous heparin
CAdmit the patient and give prophylactic thrombolytic therapy
DAdmit the patient for observation with no change in medication
Medicine
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15263 Medicine

A thiy-year man presented with nausea, fever and jaundice of 5 days duration. The biochemical tests revealed a bilirubin of 6.7 mg/d1 (conjugated 5.0 mg/dl) with SGOT/ SGPT (AST/ALT) of 1230/900 IU/mi. The serological tests showed presence of HBs Ag. IgM anti-HBc and Hbe Ag. The most likely diagnosis is:

AChronic hepatitis B infection with high infectivity.
BAcute hepatitis B infection with high infectivity
CChronic hepatitis infection with low infectivity.
DAcute hepatitis B infection with low infectivity
Medicine
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