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2822 Medicine

A 24-year-old woman presents with foot and leg weakness that is progressively getting worse over the past 1 week. Initially, she developed tingling in her feet and noticed that they would drag, but now she has difficulty standing and walking due to the leg weakness. Three weeks ago she had a “chest cold,” which resolved on its own. On examination, muscle bulk is normal, motor strength is 2 out of 5 in the quadriceps, and 1 out of 5 in the feet. Reflexes at the ankle and knee are absent, and sensation testing is normal. The upper limb examination is normal. The CSF protein is very high, glucose is normal, and cell count is slightly elevated. Which of the following is the most likely diagnosis?

Adiabetic neuropathy
Balcoholic neuropathy
CGuillain-Barre syndrome
Dcyanide poisoning
Medicine
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2826 Medicine

A 35-vear-old farmer consulted a local medical practitioner for recurrent attacks of chest pain. His elder brother had similar complaints and had died suddenly at the age of40 years. The farmer was advised to take nitroglycerine sublingulaly at the time of pain. However, the patient finds that the intensity of pain is increased by nitroglycerine. Most probably, he is suffering from –

ASubacute bacterial endocarditis involving the aortic valve.
BHypertrophic obstructive cardiomyopathy.
CDegenerative mitral regurgitation.
DChronic Type A dissection of aorta.
Medicine
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