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1315 Unknown

A 80-year-old female presented with soreness in both shoulders and upper back. According to the patient, she feels tired all the time and also had near-persistent headache in last few days. The doctor manages her conservatively. 3 days later she again presented with sudden loss of vision in the left eye Ophthalmoscopic examination was done. What is next best appropriate step in the above condition: –

ABrain MRI to evaluate for demyelinating disease or tumour
BInitiate high dose glucocoicoid therapy and refer for temporal aery biopsy
COcular massage for 2 minutes followed by repeat visual acuity testing
DTopical beta-blocker administration
Unknown
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1317 Unknown

True regarding mortality rate:

ALittle important information about changing pattern of disease
BUsually standardization for age and sex
CCrude death rate includes only deaths from death certificate data
DStandardization mortality ratio is the unexpected number of death divided by observed number of deaths in a specific group
Unknown
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1318 Unknown

True about keloid:

AWide local excision is treatment of choice
BIt will have more collagen and vascularity
CWill not spread beyond wound site
DElevated levels of growth factor is not seen
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1322 Unknown

A 40-year-old female patient presented to the OPD with joint pain in the wrist, MCP, PIP and DIP joints B/L. The involved joints were tender and swollen. Patient also gave a history of ceain skin lesions which occurred before the joints were involved along with ceain nail changes were also seen. Lab findings revealed HLA- B27 positivity. Which of the following x ray findings most commonly correlates with the above condition: –

A<img style="max-width: 100%" src=" />
B<img style="max-width: 100%" src=" />
C<img style="max-width: 100%" src=" />
DAll of the above are seen.
Unknown
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