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16171 Medicine

Which of the following is LEAST suggestive off infection with polio virus –

ALow grade fever and malaise with complete resolution in 2 to 3 days
BBiphasic illness with several days of fever, then meningeal symptoms and asymmetric flaccid paralysis 5 to 10 days later
CDescending motor paralysis with preservation of tendon reflexes and sensation
DFailure to isolate a virus from the cerebrospinal fluid in the presence of marked meningismus
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16173 Medicine

A 47-year old woman was referred for bone pain and abnormal findings on radiography. The patient repoed that for the past 17 years, she has habitually consumed water from that area. She repoed a 5-years history ofpain in the lower back, arms, legs and hips, Because of brittleness, all her teeth had been extracted. Radiography ofthe forearm revealed interosseous membrane calcification and radiography ofthe spine revealed a rugger-jersey appearance (striated pattern of increased density in the upper and lower zones of the veebrae). The probable diagnosis is

ASilicosis
BFluorosis
CVitamin B toxicity
DHypercalcinosis
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