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180928 Unknown

A 40-year-old male patient presented to the dermatology OPD with complaints of a characteristic rash over the face along with fever, ahralgia and moderate chest pain. Patient gave history of using some drug for 3 months. On examination, there was no CNS involvement. Lab findings revealed normal urine r/m studies and normal RFTs. ANA and anti-histone antibody titres were found to be raised. Which of the following mechanisms is most likely implicated in the above disease: –

A<img style="max-width: 100%" src=" />
B<img style="max-width: 100%" src=" />
C<img style="max-width: 100%" src=" />
D<img style="max-width: 100%" src=" />
Unknown
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180930 Surgery

A 68-year-old male musician presents to the emergency department with a sudden onset of colicky abdominal pain and massive vomiting of 4-hour duration. Examination shows an elevated WBC of 13,200 with a HCT of 45%. Electrolytes and blood urea nitrogen (BUN) are normal. An erect film of the abdomen reveals dilatation of the stomach with distended loops of bowel. What is his clinical diagnosis?

AComplete proximal intestinal obstruction
BIncomplete proximal intestinal obstruction
CComplete ileal obstruction
DIncomplete ileal obstruction
Surgery
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