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3218 Medicine

A 44-year-old man comes to the physician after noticing his right pupil looks larger than his left. He thinks it has been this way for several weeks. He has no pain and no restriction of his eye movements When examined in a darkly lit room, both pupils are 4mm in size. When the lights are turned on. his right pupil dilates to 4mm and his left pupil constricts to 2mm in size. His eye movements are normal as is the rest of his neurological examination. He does not have a drooping eyelid. This physical finding is due to which of the following pathological processes?

AAbnormal dilation of an artery due to weakening of vessel wall
BOcclusion of the superior sagittal sinus
CRupture of middle meningeal artery causing transtentorial herniation
DRupture of the inner lumen of the internal carotid artery with thrombus formation at the site of rupture
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3221 Medicine

A 60 year old male a sudden fall in toilet. His BP was 90/50 mm Hg and pulse was 100/min. His relatives repoed that his stool was black/dark in colour. Fuher careful history revealed that he is a known case of hypeension and coronary aery disease and was regularly taking aspirin, atenolol and sorbitrate. The most likely diagnosis is-

AGastric ulcer with bleeding
BAcute myocardial infarction with cardiogenic shock
CAcute cerebrovascular accident
DPulmonary embolism
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