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143364 Medicine

A 67-year old-woman presents to the clinic for evaluation of numbness in her feet. The symptoms started gradually and are more noticeable now. There is no weakness in her feet or difficulty walking. Her past medical history is significant for Type 2 diabetes for the past 10 years and she currently takes metformin and glyburide. Physical examination confirms sensory loss in the feet to touch and vibration. Which of the following is most characteristic of diabetic neuropathy?

Ait is usually bilateral
Bpain is not a feature
Cit most commonly affects the brain
Dit spares the autonomic system
Medicine
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143368 Pathology

A 63-year-old man with small cell carcinoma of the left mainstem bronchus begins chemotherapy. During the treatment period, he becomes febrile and develops a productive cough. The temperature is 38.7degC (103degF), respirations are 32 per minute and blood pressure is 125/85 mm Hg. A CBC shows leukocytosis (WBC = 18,500/mL). The patient’s cough worsens and he begins expectorating large amounts of foul smelling sputum. A chest X-ray shows a distinct cavity with an air/fluid level distal to the tumor area. Which of the following is the most likely diagnosis?

AAtelectasis
BBronchiectasis
CGhon complex
DPulmonary abscess
Pathology
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143370 Gynaecology & Obstetrics

A 25-year-old lady, Neethu, in her 22nd week of pregnancy develops hypeension and mild proteinuria. Due to the baby’s gestational age, her obstetrician chooses to carefully monitor the mother for any sign of developing complications rather than to immediately deliver the baby. Which of the following complications account for the most maternal deaths in preeclampsia?

ACerebral edema and laryngeal edema
BCerebral hemorrhage and adult respiratory distress syndrome
CConvulsions and renal tubular necrosis
DHemolysis and hepatic infection
Gynaecology & Obstetrics
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