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5340 Pathology

A 66-year-old woman with a history of chronic alcohol abuse has had headaches and nausea for the past 4 days. She has become increasingly obtunded. On physical examination, she has right upper quadrant tenderness, tachycardia, tachypnea, and hypotension. Laboratory studies show serum AST of 475 U/L, ALT of 509 U/L, alkaline phosphatase of 23 U/L, total bilirubin of 0.9 mg/dL, albumin of 3.8 g/dL, and total protein of 6.1 g/dL. She is treated with N-acetylcysteine. Which of the following drugs has she most likely ingested in excess?

AAcetaminophen
BAspirin
CIbuprofen
DMeperidine
Pathology
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5344 Pathology

A 35-year-old woman is seen 6 months after giving bih to a normal infant. She suffered severe cervical lacerations during delivery, resulting in hemorrhagic shock. Following blood transfusion and surgical repair, postpaum recovery has so far been uneventful. She now complains of continued amenorrhea and loss of weight and muscle strength. Fuher investigation might be expected to demonstrate which of the following findings?

ADecreased serum coisol
BHyperestrogenism
CHyperglycemia
DIncreased serum free thyroxine
Pathology
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5346 Pathology

Linea alba is

AA type of frictional hyperkeratosis that appears as a linear white line in buccal mucosa.
BUsually present as ulcers
CTraumatic implantation of amalgam particles into mucosa.
DCaused by a chemical in tobacco smoke that stimulates melanin production.
Pathology
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