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1965 Medicine

A 20-year-old woman complains of headache and discomfort in both sides of her jaw. Physical examination reveals enlarged parotid glands that are slightly tender on palpation. There is reddening of the orifice of Stensen’s duct on intra oral examination; her temperature is 38.3degC, and the pulse rate is 80/min. Laboratory data show hemoglobin 14 g/dL; hematocrit 40%; WBC 11000/mL, with 33% segmented neutrophils, 7% monocytes, and 60% lymphocytes. Which of the following diagnostic tests will help to confirm the diagnosis of epidemic parotitis?

Asingle blood sample for a specific immunoglobulin G (IgG)
Bblood cell count
Cblood culture
Dsingle blood test for a specific immunoglobulin M (IgM)
Medicine
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1966 Medicine

A 60-year old male has a long standing history of breathlessness. He has been a heavy smoker since the age of 20 years. Physical examination reveals an anxious male who is emaciated, puffing for breath but is not cyanosed. The chest is barrels shaped. The primary pathology of the lung in this patient is associated with which of the following pathogenetic mechanisms?

AType I hypersensitivity
BUnabashed action of proteases
CDeposition of immune complexes
DDeficiency of a protein produced by the liver
Medicine
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