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20723 Surgery

A 45-year-old male having a long history of cigarette smoking presented with gangrene of left foot. An amputation of the left foot was done. Representative sections from the specimen revealed presence of aerial thrombus with neutrophilic infliltrate in the aerial wall. The inflammation also extended into the neighbouring veins and nerves. The most probable diagnosis is:

ATakayasu aeritis
BGiant cell aeis
CHypersensitivity angitis
DThrmoboangitis obliterans
Surgery
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20726 Psychiatry

A 37-year-old woman comes to the emergency depament with sudden onset of left leg weakness. There is no history of any prior medical illness. On neurological examination, there is no wasting, muscle tone is normal, deep-tendon reflexes are normal, and plantars show ‘flexor’ response. The patient cannot raise her left leg off the bed while supine and is very worried that something is wrong. MRI brain does not reveal any abnormality. Which of the following is the most likely diagnosis?

AConversion disorder
BFactitious disorder
CIllness anxiety disorder
DMalingering
Psychiatry
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