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16976 Medicine

A young patient presents to the emergency depament with fever and right upper quadrant pain Clinical examination reveals obvious hepatomegaly but there is no jaundice. Ultrasound reveals a solitary, homogeneous, hypoechoic lesion in the right lobe measuring 5 cm 5 cm 4 cm. Test for hydatid disease were negative. Which of the following is the best recommendation for initial treatment –

AMultiple Aspirations and antiamoebies/antibiotics
BCatheter drainage and antiamoebics/ antibiotics
CAntiamoebics/ antibiotics alone
DHepatectomy followed by antiamobics/ antibiotics
Medicine
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16977 Medicine

A 16-year-old boy was found to have a grade 2 ejection systolic murmur along the left sternal border, which decreased with squatting and increased with sudden standing. An ECG shows left ventricular hyperophy . His cousin brother died at the age of 20 years while playing hockey due to some hea disease. What is the recommendation regarding his paicipation in spos?

AOnly non contact competitive spos is allowed
BPaicipation in competitive spos is not allowed
CNon contact competitive spos with beta-blocker therapy is allowed
DHigh-intensity competitive spos are acceptable with beta-blocker therapy
Medicine
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16983 Medicine

A 30-year-old male patient presents with complaints of weakness in right upper and both lower limbs for last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. On examination. BP was 160 140 mm Hg. all peripheral pulses were palpable and there was asymmetrical neuropath). Investigations showed Hb 12 gm%, TLC 12,000 per cu. mm. Platelets 4.30.000 and ESR 49 mm. Urine examination showed Proteinuria and RBC-10-15 hpf with no casts. What is the most likely diagnosis –

APolyarteritis nodosa
BSystemic lupus erythematosus
CWegener's granulomatosis
DMixed cryoglobulinemia
Medicine
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