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3802 Medicine

A 56-year-old repos to the ER and on attempting to take a history, she is having difficulty answering questions. Her daughter repos that this is not normal and gives the history on her mother’s behalf. She repos that, for the past two hours, her mother has been unable to lift her right arm and is struggling walking. On examination, there is reduced power (3/5) in all myotomes of her right arm and leg. There is facial drooping on the right-hand side that spares the forehead. Visual field tests elicit a right homonymous hemianopia. She is unable to speak but is able to follow commands. According to the Oxford Stroke Classification what stroke is this?

ALacunar Stroke (LACS)
BTotal Anterior Circulation Stroke (TACS)
CPosterior Inferior Cerebellar Aery Infarction
DPosterior Circulation Stroke (POCS)
Medicine
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3806 Medicine

A 53-year-old man with gout for many years usually experiences 4-5 attacks a year. He treats each flare with an over-the-counter nonsteroidal anti-inflammatory drug (NSAID), but is not taking any medications for gout prophylaxis.On physical examination, there are no active joints presently, but he does have some tophaceous deposits on his left hand. As part of his complete evaluation, screening for renal complications of gout is performed. Which of the following findings is most likely compatible with chronic gouty nephropathy?

Anephrotic syndrome
Bdecreased urinary concentrating ability and proteinuria
Cacute kidney injury
Dacute tubular necrosis (ATN)
Medicine
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