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7150 Medicine

Which of the following statement is false?

ASleep apneas can be central (CSA) or obstructive (OSA)
BIn CSA the neural drive to all respitory muscles is transiently abolished
CIn OSA airflow ceases despite contuning respitatory drive because of occlusion of oropharyngeal airway
DCSA is caused by decreased sensitivity to pCO2,
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7152 Medicine

A young motorist suffered injuries in a major road traffic accident. He was diagnosed to have fracture of left femur and left humerus. He was also having fractures of multiple ribs anteriorly on both the sides. On examination the blood pressure was 80/60 mm Hg. and hea rate was 140/minute. The patient was agitated, restless, and tachypenic. Jugular veins were distended. Air entry was adequate in both the lung fields. Hea sounds were barely audible. Femoral pulses were weakly palpable but distally no pulsation could be felt. On priority basis, the immediate intervention would be :

ARapid blood transfusion.
BUrgent pericardial tap
CIntercostal tube drainage on both the sides.
DFixation of left femur & repair of femoral aery
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