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13729 Pediatrics

A two-month-old infant is brought to the hospital emergency with marked respiratory distress. On examination, the infant has cyanosis and bilateral crepitations. Hea rate is 180/min, respiratory rate 56/min and the liver span 7.5 cm. The child has had repeated episodes of fever, cough and respiratory distress since the time of bih. Cardiovascular examination reveals a grade III ejection systolic murmur in left parasternal area and the chest X-ray reveals cardiomegaly with a narrow base and plethoric lung fields. What is the most likely diagnosis ?

ACongenital methemoglobinemia
BTransposition of great aeries
CCystic fibrosis
DTetralogy of Fallot
Pediatrics
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13733 Orthopaedics

A 37-year-old obese female presents with pain in her left wrist and abnormal sensations, numbness, burning and tingling in her left thumb, index, and middle fingers and some part of ring finger. The pain is severe and wakes her up at night. She works as a typist and pain increases with typing all day. Nerve conduction studies reveal nerve compression. Which of the following additional clinical findings would be present in this patient?

AAtrophied adductor pollicis.
BInability to oppose the thumb to other digits.
CFlattened hypothenar eminence
DParesthesia of thenar eminence
Orthopaedics
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