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6117 Surgery

A child is brought to you because of perianal itching, which has been disturbing the child’s sleep. Examination reveals scaly skin in the perianal region. You instructs the parents to place transparent tape on the perianal region the next morning, and then return to you. Next day the tape is transferred to a microscope slide, and low- power examination of the tape reveals oval eggs that are flattened along one side. Most likely cause?

AAncylostoma duodenale
BAscaris lumbricoides
CEnterobius vermicularis
DNecator americanus
Surgery
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6119 Surgery

A 64-year-old man developed persistent back pain. On examination, his BP is 120/80, pulse 70, respiratory rate is 15, and temp is 98.6degF. Physical findings include severe pallor & evidence of muscle wasting. On urinalysis, 4 + protein. M/E of urine reveals occasional broad and occasional granular cast. Lab studies: Serum creatinine = 5.1 mg/dl, serum Na = 141, K = 5.6, chloride = 101, CO2 = 14, serum calcium = 11.7, and serum phosphorus = 6.0. Most likely etiology is:

ARenovascular disease
BThrombotic renal disease
C. Multiple myeloma
DSLE
Surgery
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