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124194 Surgery

A 17 year old boy is admitted to the hospital after a road traffic accident. Per abdomen examination is normal. After adequate resuscitation, his pulse rate is 80/min and BP is 110/70 mmHg. Abdominal CT reveals 1 cm deep laceration in the left lobe of the liver extending from the dome more than half way through the parenchyma. Appropriate management at this time would be –

AConservative treatment
BAbdominal exploration and packing of hepatic wounds
CAbdominal exploration and ligation of left hepatic artery
DLeft hepatectomy
Surgery
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124195 Medicine

A 73-year-old-woman presents to the clinic complaining of fatigue and feeling unwell. She notes the symptoms are worse on exertion, but denies any chest pain or shortness of breath. Her past medical history is significant for hypertension and type 2 diabetes. Both conditions are well controlled on her current medications. On physical examination, the vital signs are – blood pressure 135/80 mm Hg, pulse 72/min, and respiratory rate 10/min. The lungs are clear on auscultation and the heart sounds are normal. A CBC reveals a hemoglobin value of 9.5 g/dL and a MCV 105 mm3. Which of the following typically causes a macrocytic anemia?

Avegan diet
Biron deficiency
Cthalassemia
Dchronic inflammation
Medicine
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