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133048 Radiology

A 15 year old boy had 10-12 paial complex seizures per day in spite of adequate 4 drug antiepileptic regime. He had history of repeated high grade fever in childhood. MRI for epilepsy protocol revealed normal brain scan. What should be the best non-invasive strategy to make a definite diagnosis so that he can be prepared to undergo epilepsy surgery.

AInterictal scalp EEG.
BVideo EEG
CInterictal 18F-FDg PET.
DVideo EEG with Ictal 99mTc-HMPAO Brain SPECT
Radiology
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133052 Medicine

A 39-year-old man is brought to the emergency department because of abdominal pain in the area under his groin. The pain began suddenly while he was helping a coworker lift a scaffold. He had an unremarkable appendectomy 3 months ago. Physical examination shows a bulge in the area, worse with coughing, grunting, and squatting. The bulge is easily reducible in the right groin area. The patient denies nausea, vomiting, diaphoresis, and diarrhea. Radiograph and laboratory studies are negative for strangulation. Which of the following nerves was most likely damaged during the appendectomy procedure?

AFemoral
BGenitofemoral
Cllioinguinal
DObturator
Medicine
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