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57526 Medicine

50 year old male known case of emphysema presents to OPD with complaint of shoness of breath for 2 weeks. Chest X Ray revealed 3 cm pneumothorax on the right side. What shall be the management approach for the patient ?

ARepeated aspirations as chest drain inseion is dangerous if bullae are present
BHigh flow oxygen and carefully monitor the patient
CInseion of Seldinger intercostal chest drain to cause resolution of pneumothorax
DInse a large bore chest drain as there may be a significant Air leak
Medicine
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57528 Biochemistry

A 3-year-old girl has been a fussy eater since being weaned, particularly when fruit is part of her diet. She would get cranky, sweat, and display dizziness, and lethargy, after eating a meal with fruit. Her mother noticed this correlation, and as long as fruit was withdrawn from her diet, the child did not display such symptoms. The problems the girl exhibits when eating fruit is most likely due to which one of the following?

ADecreased levels of fructose in the blood
BElevated levels of glyceraldehyde in liver cells
CHigh levels of sucrose in the stool
DElevated levels of fructose-1-phosphate in liver cells
Biochemistry
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