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118543 Unknown

A 25 years old male patient presents with eccentric behaviour for 3 years. He is not in any job and has trouble in doing his own work like bathing, eating. He complains of hearing voices and speaks to himself when he is alone. On examination, he has flat effect, inappropriate emotions, and disorganized behaviour with suicidal ideas. The most appropriate diagnosis is:

AParanoid schizophrenia
BHebephrenic schizophrenia
CCatatonic schizophrenia
DUndifferentiated schizophrenia
Unknown
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118547 Medicine

A 40-year-old woman cuts her finger while cooking in her kitchen. Two days later she becomes rapidly ill with fever and shaking chills. Her hand becomes painful and mildly erythematous. Later that evening her condition deteriorates as the erythema progresses and the hand becomes dusky red. Bullae and decreased sensation to touch develop over the involved hand. What is the most important next step in the management of this patient?

ASurgical consultation and exploration of the wound
BTreatment with clindamycin for mixed aerobic-anaerobic infection
CTreatment with penicillin for clostridial infection
DVancomycin to cover community-acquired methicillin-resistant Staphylococcus aureus (CA- MRSA)
Medicine
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