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5401 Medicine

40 year old lady presented with sudden onset of breathing difficulty. Clinical examination was essentially normal except for tachycardia and tachypnea. She gives history of two episodes of lower limb pain and swelling, first episode was 15 years back during her first pregnancy and second episode 3 months back. What would be the hematological abnormality respoinsible for her condition:

AProtein C excess
BResistance to activated protein C
CAntithrombin mutation causing accelerated effect
DPolycythemia vera
Medicine
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5402 Medicine

A 70 year old male patient presented to the emergency depament with pain in epigastrium and difficulty in breathing for 6 hours. On examination his hea rate was 56 per minute and the blood pressure was 106/60 mm Hg. Chest examination was normal. The patient has been taking omeprazole for gastroesophageal reflux disease for last 6 months. What should be the initial investigation:

AAn ECG
BAn upper GI endoscopy
CUrgent ultrasound of the abdomen
DAn X-ray chest
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5403 Medicine

Heyde’s syndrome is

AMitral stenosis, ahritis, and biliary cirrhosis
BMitral regurgitation, hiatus hernia, and cirrhosis
CAoic stenosis, gastrointestinal bleeding and angiodysplasia of colon
DPulmonary aerial hypeension, tricuspid regurgitation, and cirrhosis
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5408 Medicine

A female undergoes an uneventful full term normal vaginal delivery. After few hours, she staed complaining of severe headache & visual changes. She is found unresponsive after 4 hours. She is intubated & O/E her BP- 64/30 mmHg, HR- 160/min. Lab studies show RBS- 45 mg/dl, with normal haemoglobin, WBC & platelets. Which of the following you will use to manage this patient?

AActivated drotrecogin alfa
BHydrocoisone
CPiperacillin/tazobactam
DTransfusion of packed red blood cells
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