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60538 Medicine

A 35 year old female presents to OPD with complaints of fatigue and weakness. She has had decreased appetite, weight loss, and severe light-headedness upon standing. Vital signs show a hea rate of 88 bpm, respiration rate of 18 breaths per minute, and temperature of 37.2deg C. The exam is remarkable for pigmentation of the oral mucosa, proximal muscle weakness of the lower extremities, and hyperpigmentation of the palmar creases, knuckles and knees. What is the most likely diagnosis?

AAdrenal insufficiency
BDepression
CAnorexia with surreptitious diuretic use
DHypothyroidism
Medicine
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60539 ENT

A 30-year old woman with family history of hearing loss from her mother’s side developed hearing problem during pregnancy. Hearing loss is bilateral, slowly progressive, with bilateral tinnitus that bothers her at night. Pure tone audiometry shows conductive hearing loss with an apparent bone conduction hearing loss at 2000 Hz. What is the most likely diagnosis?

AOtosclerosis
BAcoustic neuroma
COtitis media with effusion
DSigmoid sinus thrombosis
ENT
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