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51112 Medicine

20-year-old swimmer who has been in excellent health and takes no chronic medications, for new-onset severe fatigue and left upper abdominal pain. She was treated 2 days ago in hospital for presumed typhoid with cefotaxime. She also had past h/o typhoid in 2 yrs back. On physical examination her hea rate of 120 bpm and a palpable spleen. Stool is negative for heme. Lab investigations shows hemoglobin of 5 g/dL with normal TLC and platelets. Peripheral blood smear reveals an excess of spherocytes. All of the following can cause similar type of this condition except:

ASLE
Ba - Methyldopa ingestion
CQuinidine
DInfectious mononucleosis
Medicine
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51118 Pathology

A 28-year-old woman is evaluated for infeility and amenorrhea. She is obese and has significant facial hair in a male distribution. Laboratory studies reveal an increase in serum LH, as well as in total serum testosterone and in the testosterone metabolite dehydroepiandrosterone sulfate. A pelvic ultrasound examination would probably reveal which of the following findings?

AA mass resembling a bunch of grapes projecting into the vagina
BBlood-filled cysts in the ovary
CFluid accumulation in the fallopian tubes
DMultiple small follicular cysts on the ovary
Pathology
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