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62902 Medicine

A 25-year-old male who is IV drug user presents with a 3-week history of worsening lethargy and confusion. O/E- PR: 130bpm and BP: 120/80. CVS examination: raised JVP with large v-waves and a loud systolic murmur. A palpable, pulsatile liver is felt when hepato-jugular reflex is attempted. What type of murmur is most fitting with this patient’s presentation?

AFunctional murmur
BTricuspid stenosis
CPulmonary stenosis
DTricuspid regurgitation
Medicine
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62905 Pathology

A 39-year-old female presents with chronic abdominal cramps, watery diarrhea, and periodic facial flushing. Physical examination reveals wheezing and a slightly enlarged liver. Workup reveals several masses within the liver and a large mass in the small intestine. Which one of the listed substances is most likely to be elevated in the urine of this individual as a result of her disease?

A5-hydroxyindoleacetic acid (5-HIAA)
BAminolevulinic acid (ALA)
CN-formiminoglutamate (FIGlu)
DVanillylmandelic acid (VMA)
Pathology
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