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632 Medicine

An elderly female presents to the emergency depament and was found to have a transmural myocardial infarction. Based on her ECG, she was staed on thrombolytie therapy with streptokinase. On fuher examination, which of the following findings would indicate that the thrombolytic therapy is risky and should be stopped

APericardial friction rub
BMobitz Type II block
CSignificant pericardial effusion on echocardiography
DLower limb vein thrombosis
Medicine
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634 Medicine

A 7 year old boy presented with generalized edema. Urine examination revealed marked albuminuria. Serum biochemical examinations showed hypoalbuminemia with hyperlipidemia. Kidney biopsy was undeaken. On light microscopic examination, the kidney appeared normal. Electron microscopic examination is most likely to reveal

AFusion of foot processes of the glomerular epithelial cells
BRarefaction of glomerular basement membrane
CDeposition of electron dense material in the basement membrane
DThin basement membrane
Medicine
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