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133490 Anaesthesia

An 18-year-old previously healthy man is placed on intravenous heparin after having a pulmonary embolism (PE) after exploratory laparotomy for a small-bowel injury following a motor vehicle collision. Five days later, his platelet count is 90,000/mL and continues to fall over the next several days. The patient’s serum is positive for antibodies to the heparin-platelet factor complexes. Which of the following is the most appropriate next management step?

ACessation of all anticoagulation therapy
BCessation of heparin and immediate institution of high-dose warfarin therapy
CCessation of heparin and institution of low-molecular-weight heparin
D. Cessation of heparin and institution of lepirudin
Anaesthesia
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133497 ENT

A 38 year old gentleman repos of decreased hearing in the right ear for the last two years. On testing with a 512 Hz tuning fork the Rinne’s test without masking is negative on the right ear and positive on the left ear. With the Weber’s test the tone is perceived as louder in the left ear. This patient MOST likely has:

ARight conductive hearing loss
BRight sensorineural hearing loss
CLeft sensorineural hearing loss
DLeft conductive hearing loss
ENT
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