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1425 Unknown

This 25-year-old male university student gave history of multiple tick bites when he was at a camp 45 days ago. Ever since, he has episodes of high grade fever accompanied by headache, myalgias, ahralgias, nausea, and occasional vomiting. After 6-7 days, his symptoms would subside. Such episodes occurred thrice with a symptom free interval of 9-10 days. O/E, his temperature was 98degF, and his pulse 72 beats per minute. His physical examination was completely within normal limits except some mild splenomegaly and skin lesions. Wright stain of this patient’s peripheral blood smear was done. What is the first oral drug of choice in the above patient: –

ADoxycycline
BAmoxicillin
CCefuroxime
DErythromycin
Unknown
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1429 Unknown

A 1-year-old boy presented with failure to thrive with symptoms of severe fat malabsorption from bih. The baby was born at 39 weeks gestation the spontaneous vaginal delivery outside the hospital. The mother of the child told that the stools of the child were pale, foul smelling and bulky. On examination, Distended abdomen Absent DTRs Slow intellectual development Lab findings revealed low levels of serum cholesterol and serum triglycerides and non-detectable VLDL and chylomicron levels.. Peripheral blood smear Fundus examination What of the following fatty acids should be most likely avoided in diet in above disease: –

AVLCFA
BMCFA
CSCFA
DLCFA
Unknown
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