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157596 Pathology

A 22-year-old woman has had multiple episodes of aspiration of food associated with difficulty swallowing during the past year. On auscultation of her chest, crackles are heard at the base of the right lung. A barium swallow shows marked esophageal dilation above the level of the lower esophageal sphincter. A biopsy specimen from the lower esophagus shows an absence of the myenteric ganglia. What is the most likely diagnosis?

AAchalasia
BBarrett esophagus
CPlummer-Vinson syndrome
DSliding hiatal hernia
Pathology
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157598 Social & Preventive Medicine

You are the only medical officer of a PHC in a remote tribal area of Rajastan. You had staed Category-I DOTS for a 23 year old woman who is the mother of a 2 year old child. What chemoprophylaxis will you recommend for the child in this scenario? Note that the child is asymptomatic and Mantoux test is not available.

AINH 3 mg/kg for 6 months
BINH 3 mg/kg for 6 months
CINH 3 mg/kg for 3 months
DINH 5 mg/kg for 3 months
Social & Preventive Medicine
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