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124507 Medicine

A 30 year old male presents with numbness of both lower limbs and right upper limb. Examination reveals pulse 88/minutes and BPI 160/110 mm of Hg. He also has digital gangrene involving right 2nd and 3rd finger, urine routine examination is unremarkable. Microscopic examination shows RBC’s. Hemogram and serum biochemistry is within normal limits. What is the most probable diagnosis?

ASystemic lupus erythematosus
BPolyaeritis nodosa
CMalignant hypeension
DChugh-Strauss syndrome
Medicine
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124514 Medicine

A 45-year-old woman underwent a modified radical mastectomy 4 years ag0. She was treated for multiple bone metastasis with cyclophosphamide, doxorubicin, and fluororacil for 6 months. She is complaining of exeion on exercise, swelling of the legs, and swelling around eyes in the morning. On examination, she has bilateral rales in the lungs, s1, s2 audible, s3, s5 gallop present. Her BP is 149/117 mm Hg, PR is 80/min, RR is 18/min. what is the most likely cause for her cardiac condition?

ASystolic dysfunction CHF
BDrug induced cardiac toxicity
CMetastatic cardiac disease
DPneumonia
Medicine
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