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151198 Unknown

A 58-year-old man with cirrhosis complains of worsening fatigue and confusion over the past 5 days. He also reports that over the past 48 hours he has had a declining urinary output. On examination, he is gaunt and jaundiced. He has tense ascites and a liver span of 7 cm in the midclavicular line. Lab result reveal a WBC 4600/mm3, Hb 9.4 g/dL, and PCB 29%. BUN of 34 mg/dL and a creatinine of 3.1 mg/dL. A urinary Na <10 mEq/L. Most appropriate treatment for his elevated BUN and creatinine?

ALarge volume paracentesis
BHemodialysis
CMesocaval shunt
DLiver transplantation
Unknown
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151200 Medicine

A 68-year-old man presents to the clinic for evaluation of progressive hearing loss, ringing in his ears, and facial pain on the left side. The symptoms started 1 month ago. He has also noticed some difficulty with his balance, but reports no falls. Pertinent physical findings are an unsteady gait and decreased hearing in the left ear. His eye movements, facial sensation, and facial movements are normal. An MRI scan of the brain reveals a tumor at the cerebellopontine angle. Which of the following cranial nerves is this tumor most likely to affect?

Afourth cranial nerve
Bsixth cranial nerve
Ceighth cranial nerve
Dtenth cranial nerve
Medicine
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