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This finding is most strongly associated with:
A) Familial hypercholesterolemia
B) Hypertriglyceridemia
C) Cushing syndrome
D) Nephrotic syndrome
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Which organism causes this lesion?
A) Treponema pallidum
B) Borrelia burgdorferi
C) Rickettsia rickettsii
D) Leptospira interrogans
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The vessel most commonly injured is:
A) Middle meningeal artery
B) Basilar artery
C) Anterior cerebral artery
D) Superior sagittal sinus
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What complication is most responsible for mortality in children with this disease?
A) Stroke
B) Splenic sequestration
C) Renal failure
D) Gallstones
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A patient with alcoholism develops confusion, ataxia, and ophthalmoplegia.
Which vitamin deficiency is responsible?
A) Vitamin B6
B) Vitamin B12
C) Thiamine (B1)
D) Niacin
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A child develops hematuria and hearing loss.
Which syndrome is most likely?
A) Goodpasture syndrome
B) Alport syndrome
C) Berger disease
D) Minimal change disease
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A patient presents with ptosis, miosis, and anhidrosis.
The lesion most likely affects:
A) Facial nerve
B) Oculomotor nerve
C) Sympathetic pathway
D) Trigeminal nerve
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Which poisoning is classically associated with a garlic odor on the breath?
A) Methanol
B) Arsenic
C) Carbon monoxide
D) Ethylene glycol
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A patient develops severe muscle rigidity, hyperthermia, and elevated CK immediately after receiving succinylcholine during surgery.
What is the diagnosis?
A) Neuroleptic Malignant Syndrome
B) Serotonin Syndrome
C) Malignant Hyperthermia
D) Heat Stroke
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A patient attempts rapid alternating hand movements. The movements are slow, irregular, and poorly coordinated.
What is the most likely finding?
A) Bradykinesia
B) Dysdiadochokinesia
C) Chorea
D) Dystonia
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A patient is asked to extend both arms forward with eyes closed. One hand slowly begins to pronate and drift downward.
What clinical sign is demonstrated?
A) Romberg sign
B) Pronator drift
C) Asterixis
D) Dysdiadochokinesia
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Dermatology image shows multiple dome-shaped pearly papules with central umbilication in a child. Diagnosis?
A) Molluscum contagiosum
B) Impetigo
C) Verruca vulgaris
D) Tinea corporis
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CT brain image demonstrates a biconvex (lens-shaped) hyperdense collection not crossing suture lines. What is the diagnosis?
A) Subdural hematoma
B) Epidural hematoma
C) Subarachnoid hemorrhage
D) Intraventricular hemorrhage
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Fundus photograph shows a bright cherry-red spot at the macula surrounded by a pale retina. What is the diagnosis?
A) Central retinal vein occlusion
B) Retinal detachment
C) Central retinal artery occlusion
D) Diabetic retinopathy
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A chest X-ray shows a markedly enlarged cardiac silhouette with a "water bottle" appearance. What is the most likely diagnosis?
A) Dilated cardiomyopathy
B) Pericardial effusion
C) Mitral stenosis
D) Pulmonary edema
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