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175159 Medicine

A 30-year-old male patient presents with complaints of weakness in right upper and both lower limbs for last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. On examination. BP was 160 140 mm Hg. all peripheral pulses were palpable and there was asymmetrical neuropath). Investigations showed Hb 12 gm%, TLC 12,000 per cu. mm. Platelets 4.30.000 and ESR 49 mm. Urine examination showed Proteinuria and RBC-10-15 hpf with no casts. What is the most likely diagnosis –

APolyarteritis nodosa
BSystemic lupus erythematosus
CWegener's granulomatosis
DMixed cryoglobulinemia
Medicine
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175162 Pediatrics

A mother gave bih to a male baby in her home 2 days ago. The mother complaints that she is anxious, unable to tolerate heat and is fatigued most of the time, and repos that she has not gained much weight despite having an increased appetite. She also told that before pregnancy too she had similar complaints. On examination, she has a tremor, her HR is 100 bpm and has bulging eyes. Based on mother’s findings, baby is most likely at risk for development of which of the following?

AHea failure
BConstipation
CThird-degree hea block
DMacrocephaly
Pediatrics
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