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496 Unknown

A 50-year-old male presented with progressive unilateral sensorineural hearing loss associated with tinnitus since 2 years. There was marked difficulty in understanding speech which was out of propoion to the pure tone hearing loss. Patient also complained of reduced corneal sensitivity, numbness and paresthesia of face along with hypoesthesia of posterior meatal wall. O/E, PTA showed sensorineural type of hearing loss Poor speech discrimination score Absence of recruitment phenomena with SISI score of 0-20%. CEMRI The contents of most common site for this pathology are all except: –

AFacial nerve
BFlocculus of the cerebellum
CAnterior inferior cerebellar aery
DPosterior inferior cerebellar aery
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498 Unknown

A 37-year-old woman presents with complaints of severe heartburn with or without meals. She has a history of hypertension, which has been treated with captopril. She also has a history of Raynaud disease, multiple facial telangiectasias, and very taut skin on the dorsum of both hands. She has failed to obtain relief for her heartburn with large doses of antacids, or omeprazole. Esophageal manometry is ordered. Most likely results of this test is ?

ADecreased esophageal peristalsis and decreased LES pressure
BDecreased esophageal peristalsis and increased LES pressure
CIncreased esophageal peristalsis and decreased LES pressure
DIncreased esophageal peristalsis and increased LES pressure
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