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3010 Unknown

An 8-month-old child presented with reduced appetite, abdominal distension and pain and psychomotor retardation. The child was normal at bih and both parents are normal. O/E: – Hepatosplenomegaly Moderate lymphadenopathy Abnormal posturing of the limbs, trunk, and face Impaired voluntary rapid eye movements Cheery red spot on fundus examination. Bony defects Lymph node-histopathology and electron microscopy. EM findings Which of the following enzymes is most likely deficient in the above disease: –

AHexosaminidase A
BAlpha-galactosidase A
CGlucocerebrosidase
DSphingomyelinase
Unknown
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3014 Unknown

A 30-year-old patient complains of pain abdomen for 5 days, with similar history in recent past as well. On examination, localized tenderness in right upper quadrant on deep palpation is observed. A slight yellowish discoloration of skin is noted as well. USG examination reveals the following findings. If this patient had associated gallstones, which of the following would it be?

A<img style="max-width: 100%" src=" />
B<img style="max-width: 100%" src=" />
C<img style="max-width: 100%" src=" />
DGallstones are not associated with above clinical scenario.
Unknown
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