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419 Surgery

An 8-year old child was brought to you for a high grade fever of 3 days duration with vomiting headache and decreased responsiveness. Examination revealed a distressed child , in shock with maculopapular and ecchymotic rashes on the skin with bleeding from venepuncture sites and hepatomegly. Investigation showed PCV =65% WBC 4000 platelet 25000 & mildly prolonged PT. CXR revealing left sided pleural effusion. Diagnosis is ?

AMeningococcemia with DIC
BDengue heamorrhagic fever
CLeptosporisis
DComplicated malaria
Surgery
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420 Surgery

A young man weighing 65 kg was admitted to the hospital with severe burns in a severe catabolic state. An individual in this state requires 40 kcal per kg body weight per day, 1 gm of protein/kg body weight/day. This young man was given a solution containing 20% glucose and 4.25% protein. If 3000 ml of solution in infused per day:

AThe patient would not be getting sufficient protein
BThe calories supplied would be inadequate
CBoth protein and calories would be adequate
DToo much protein is being infused
Surgery
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421 Surgery

Game Keeper’s thumb is

AUlnar collateral ligament injury of MCP Joint
BRadial collateral ligament injury of MCP joint
CRadial collateral ligament injury of CMC joint
DUlnar collateral ligament injury of CMC joint
Surgery
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