A) 46XX B) 46XY C) 47XXY D) 45XO Answer (Select an option above to get the answer):
(Single Best Answer) Question 253: A 59 year old man with severe myxomatous mitral regurgitation is asymptomatic, with a left ventricular ejection fraction of 45% and an end-systolic diamater index of 2.9 cm/m2. The most appropriate treatment is ?
A) Mitral valve repair or replacement B) No treatment C) ACE inhibitor therapy D) Digoxin and diuretic therapy Answer (Select an option above to get the answer):
A) Thrombocytopenia B) Small-vessel vasculitis C) Disseminated gonococcal infection D) Acute meningococcemia Answer (Select an option above to get the answer):
(Single Best Answer) Question 255: A 30 years old male patient presents with complaints of weakness in right upper and both lower limbs for last 4 months. He developed digital infarcts involving 2nd and 3rd fingers on right side and 5th finger on left side. On examination, BP was 160/140 mm Hg, all peripheral pulses were palpable and there was asymmetrical neuropathy. Investigations showed a Hb-12gm, TLC-12000Cu mm, Platelets 4,30,000, ESR- 49 mm. Urine examination showed proteinuria and RBC 10 - 15 /hpf with no casts. Which of the following is the most likely diagnosis ?
A) Polyarteritis nodosa B) Systemic lupus erythematosus C) Wegener's granulomatosis D) Mixed cryoglobulinemia Answer (Select an option above to get the answer):
A) Parathyroid hormone (PTH) B) Parathyroid hormone related protein (PTHrP) C) Interleukin - 6 (IL-6) D) Calcitonin Answer (Select an option above to get the answer):