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8440 Medicine

A 35-year-old farmer consulted a local medical practitioner for recurrent attacks of chest pain.His elder brother had similar complaints and similar complaints and had died suddenly at the age of 40 year. The farmer was advised to take nitrogiyceeine sublingually at the time of pain.However,the patient finds that the intensity of pain is increased by Nitroglycerine.Most probably,he is suffering from-

ASubacute bacterial endocarditis involving the aoic
BHyperophic obstructive cardiomyopathy.
CDegenerative mitral regurgitation
DChronic Type A dissection of arota.
Medicine
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8442 Medicine

A 69-year-old woman presents to the emergency department with symptoms of left flank pain and hematuria. On physical examination, the blood pressure is 165/96 mmHg, heart rate is 104/min, and the abdomen is soft and nontender. There is some left costo-vertebral angle tenderness on percussion. A computerized tomography (CT) scan of the abdomen reveals a 5-cm mass in the left kidney. (See Figure below) Which of the following laboratory abnormalities might also be present?

Apolycythemia
Bthrombocytopenia
Chypocalcemia
Dleukocytosis
Medicine
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