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256 Medicine

An 80 kg male patient presented to the emergency with hypotension and you have been instructed to sta him on an inotrope at a dose of 10 mcg/kg/min. Each 5 mL amp of the drug contains 200 mg drug. You choose 2 ampules of the drug and decide to mix it with saline to make a 250 mL solution. What should be the flow rate of the drug solution to maintain the BP of the patient (assuming 16 drops = 1 mL)?

A4 drops/min
B8 drops/min
C10 drops/min
D16 drops/min
Medicine
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260 Medicine

A 42 years old male patient presented with jaundice. His AST was 48 U, ALT was 51 U, ALP, GGTP were normal. Ultrasound of liver was suggestive of cirrhosis. Viral markers were done and the following results were obtained.TestResultAnti-HAVNegativeAnti-HBsAgNegativeAnti-HBeAgNegativeAnti-HBcAg IgGPositiveAnti-HBcAg IgMNegativeHBsAgNegativeAnti-HCVPositiveAnti-HEVNegativeWhat is the next best step in management of this patient?

ASta interferon therapy
BLiver biopsy
C-PCR for hepatitis C virus
DPCR for HBV-DNA
Medicine
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