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2857 Unknown

A 40-year-old male with a history of accident 2 days back presented to the ER with complaints of redness of eye, diplopia, decreased vision and facial pain in the distribution of ophthalmic division of trigeminal nerve. On examination, Bruit was heard over the eyes Proptosis Ocular pulsations Exposure keratopathy Pulsating exophthalmos MRI brain The aery involved in the above condition passes from which of the following structures: –

AB
BD
CA
DC
Unknown
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2858 Unknown

A 58-year-old man has the sudden onset late one evening of severe pain in his left great toe. There is no history of trauma. On examination there is edema with erythema and pain on movement of the left 1st metatarsophalangeal joint, but there is no overlying skin ulceration. A joint aspirate is performed and on microscopic examination reveals numerous neutrophils. Over the next 3 weeks, he has two more similar episodes. On physical examination between these attacks, there is minimal loss of joint mobility. Which of the following laboratory test findings is most characteristic for his underlying disease process?

AHyperglycemia
BPositive antinuclear antibody
CHyperuricemia
DHypercalcemia
Unknown
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