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16710 Surgery

A 30 year old person met with a roadside accident. On admision his pulse rate was 120/minute, BP was 100/60 mmHg. Ultrasonagraphy examination revealed laceration of the lower pole of spleen and haemoperitoneum. He was resuscitated with blood and fluid. Two hours later, his pulse was 84/minute and BP was 120/70 mm Hg. The most appropriate course of management in this case would be-

AExploring the patient followed by splenectomy
BExploring the patient followed by excision of the lower pole of spleen
CSplenorrhaphy
DContinuation of conservative treatment under close monitoring system and subsequent surgery if further indicated
Surgery
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16713 Surgery

A 27-yrs-old woman has been feeling low for the past 2 weeks. She has little energy and has trouble concentrating. She states that 6 weeks ago she had been feeling very good, with lots of energy and no need for sleep. She states this pattern has been occurring for at least the past 3 years, though the episodes have never been so severe that she couldn’t work. Most likely diagnosis is?

ABorderline personality disorder
BSeasonal affective disorder
CCyclothymic disorder
DMajor depression, recurrent
Surgery
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