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141978 Pediatrics

A two-month-old infant is brought to emergency depament 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 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 para-sternal 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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141981 Unknown

A 70-year-old male patient presented with forgetfulness of keys, or doing household chores. The patient has difficulty in driving and takes more time in recognising face of family members. On examination, MMSE was 20/30. Consciousness was intact, no focal neurological deficit was present. The following finding was seen on Bielschowsky stain. Which of the following anatomical regions depict the earliest change in this disease?

AMammillary body
BThalamus
CHippocampus
DCaudate nucleus
Unknown
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