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4729 Surgery

An 8-year old child was brought to you for a high grade fever of 3 days duration with vomiting headache and decreased responsiveness. Examination revealed a distressed child , in shock with maculopapular and ecchymotic rashes on the skin with bleeding from venepuncture sites and hepatomegly. Investigation showed PCV =65% WBC 4000 platelet 25000 & mildly prolonged PT. CXR revealing left sided pleural effusion. Diagnosis is ?

AMeningococcemia with DIC
BDengue heamorrhagic fever
CLeptosporisis
DComplicated malaria
Surgery
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4734 Surgery

A young man weighing 65 kg was admitted to the hospital with severe burns in a severe catabolic state. An individual in this state requires 40 kcal per kg body weight per day, 1 gm of protein/kg body weight/day. This young man was given a solution containing 20% glucose and 4.25% protein. If 3000 ml of solution in infused per day:

AThe patient would not be getting sufficient protein
BThe calories supplied would be inadequate
CBoth protein and calories would be adequate
DToo much protein is being infused
Surgery
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