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16894 Medicine

A 34-year-old man who works as a carpenter presents with symptoms of jaw discomfort, dysphagia, and pain as well as stiffness in his neck, back, and shoulders. On examination, he is unable to open his jaw, his proximal limb muscles are stiff as is his abdomen and back, but the hands and feet are relatively spared. He occasionally has violent generalized muscles spasms that cause him to stop breathing, but there is no loss of consciousness. A clinical diagnosis is made and he is treated with antibiotics, antitoxin, and diazepam as well as muscle relaxants for the spasms.For the above patient, select the most likely infecting organism.

Atoxoplasmosis
Btetanus
Csyphilis
DStreptococcus
Medicine
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16896 Medicine

A 20 year old male presented with jaundice for the past 2 weeks. His liver function tests revealed serum bilirubin to be 0.9 mg/dL, SGOT/SGPT to be 1240/1450 IU. He was found to be positive for HBsAg and IgM anti-HEV antibodies and negative for 1gM anti HBc. The most likely diagnosis is

AAcute hepatitis with mutant hepatitis B virus
BSuper infection of hepatitis E virus with chronic hepatitis B infection
CAcute hepatitis with wild type hepatitis B virus
DCo-infection of hepatitis B and E viruses
Medicine
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