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3434 Medicine

True about co-arctation of aoa :

AMost common site is distal to the origin of the left subclan aery
BMost common age of presentation is at 15- 20years
CSuperior rib notching is due to erosion by dilated collateral vessels
DRight ventricular hyperophy is prominent
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3435 Medicine

A 64-year-old man presents to the clinic because he is experiencing generalized weakness. He notes difficulty getting out of a chair, and lifting objects above his head as examples of the muscle weakness. He has lost 15 lb and feels unwell. On physical examination, there is a blue purple rash on his eyelids and knuckles, and muscle strength in his proximal muscles is rated 4 out of 5. His laboratory investigations are abnormal for an elevated creatinine kinase (CK) level. He is started on prednisone therapy. Which of the following is the most important in monitoring response to therapy?

Atesting of muscle strength
Bsedimentation rates
Curine transaminase enzymes
DEMG
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