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186213 Surgery

A 50 year old with history of jaundice in the past has presented with right upper quadrant abdominal pain. Examination and investigations reveal chronic calculous cholecystitis. The liver functions tests are within normal limits and on ultrasound examination, the common bile ducts is not dilated. Which of the following will be the procedure of choice?

ALaparoscopic cholecystectomy (Correct Answer)
BOpen choledocholithotomy followed by laparoscopic cholecystectomy
CERCP + choledocholithotomy followed by Laparoscopic cholecystectomy
DLaparoscopic cholecystectomy followed by ERCP + choledocholithotomy
186218 Social & Preventive Medicine

A child aged 24 months was brought to the Primary Health Centre with complaints of cough and fever for the past 2 days. On examination, the child weighed 11kg, respiratory rate was 38 per minute, chest indrawing was present. The most appropriate line of management for this patient is ?

AClassify as pneumonia and refer urgently to secondary level hospital
BClassify as pneumonia, sta antibiotics and advise to repo after 2 days
CClassify as severe pneumonia, sta antibiotics and refer urgently (Correct Answer)
DClassify as severe pneumonia and refer urgently