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27364 Surgery

A newborn presents with an early onset of dyspnea with chest retractions, expiratory grunting and cyanosis following an uneventful normal preterm labor. On examination no cardiac murmurs are heard and the lungs appear clear. On a plain X-ray there is evidence of prominent pulmonary vascular markings and fluid lines in the fissures. The cyanosis improves with minimal oxygen. The most probable diagnosis is:

AMeconium aspiration syndrome
BFetal aspiration syndrome
CTransient tachypnea of the newborn
DHyaline membrane disease
Surgery
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27365 Psychiatry

A patient is brought to the casualty in the state of altered sensorium. He was on lithium treatment for affective disorder and has suffered through an attack of epileptic fits. On examination he has worsening tremors, increased DTR’s and incontinence of urine. He has also undergone an episode of severe gastroenteritis 2 days ago. The probable cause for his present state is:

ALithium toxicity
BDehydration
CManic episode
DDepressive stupor
Psychiatry
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