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2226 Unknown

A 50-year-old male patient presented with severe excruciating pain in the shoulder region along with swelling and fever. There was no history of any kind of trauma. Bullae filled with clear, cloudy, haemorrhagic, or purplish fluid were observed at the site of pain and the surrounding skin had a purple hue. A pleomorphic bacillus forming oval subterminal spores was observed on gram staining. It grew in anaerobic conditions on culture. The colonies were initially irregular and transparent which turned opaque on repeated incubations. The organism was saccharolytic and produced abundant gas on fuher studies. Which investigation should be carried out next to rule out the root cause of above condition: –

AGI Endoscopy
BBronchoscopy
CCystoscopy
DMRI brain
Unknown
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2230 Unknown

A 35 years old male, with pre-morbid anxious traits & heavy smoker, believes that he has been suffering from iung carcinoma* for a year. No significant clinical finding is detected on examination and relevant investigation. He continues to stick to his belief despite evidence to the contrary. In the process, he has spent a huge amount of money, time and energy in getting himself unduly investigated. He is most likely suffering from –

ACarcinoma lung
BHypochondriacal disorder
CDelusional disorder
DMalingering
Unknown
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