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40262 Surgery

A 21-year-old female presents because her urine has turned a brown color. She states that about 2 months ago her urine turned brown 2 days after a cold and stayed brown for about 3 days. At the current time a urinalysis reveals blood with red cells and red cell casts. Fuher laboratory tests include a complete blood count (CBC), serum electrolytes, BUN, creatinine, glucose, antinuclear antibodies (ANAs), and serum complement levels (C3 and C4). All of these tests are within normal limits. Immunofluorescence examination of a renal biopsy from this patient reveals the presence of large, irregular deposits of IgA/C3 in the mesangium. A linear staining pattern is not found. What is the most likely diagnosis for this patient?

ABerger's disease
BFocal segmental glomerulosclerosis
CGoodpasture's disease
DLipoid nephrosis
Surgery
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40264 Pharmacology

A 44-year male has anxiety for which he was put on alprazolam therapy for 3 years. His family notices no improvement and he develops slurring of speech after taking few pegs of alcohol. He decided to stop using the drug to prevent dependence. He was admitted to hospital with severe withdrawal symptoms. Which is accurate statement for Alprazolam use :-

AAdditive CNS depression occurs with ethanol
BAbrupt discontinuance of alprazolam after 4 weeks of treatment may elicit withdrawal signs
CTolerance can occur with chronic use of any benzodiazepine
DAll of the above statements are accurate
Pharmacology
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