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7895 Medicine

A 31-year-old woman has new-onset headaches and blood pressure elevation. She also notices that the symptoms come episodically and consist of palpitations, headache, anxiety, and marked blood pressure elevation. She undergoes a workup for secondary causes of hypertension, and is found to have elevated free catecholamines in her urine.For the above patient with systemic disease, select the most typical cardiovascular involvement.

Afocal myocardial necrosis
Bproximal aortitis
Cendothelial plaques
Dsystolic scratchy sound
Medicine
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7901 Medicine

A 55-year old man presented with a two-day history of headache, fever and generalized weakness. He had received a cadaveric kidney transplant 5 years earlier. His medications included 5 mg of tacrolimus twice a day and 10 mg of prednisone daily. On neurologic examination, he was confused and incoherent. Cranial nerves were normal, but he had a hazy left retina. Magnetic resonance imaging of the brain with the administration of gadolinium showed multiple enhancing lesion in both cerebral hemispheres. The treatment of choice in this condition is –

ATrimethoprim-sulfamethoxazole
BPenicillin long acting
CAnti tubercular therapy
DSterods
Medicine
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