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Correct Answer - A
Answer- A. Lymphocytic pleocytosis

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Correct Answer - A
Ans. is 'a' i.e., Kawasaki disease

o Kawasaki disease is an acute, self limited vasculitis of unknown
etiology that occurs predominantly in infants and young children of
all races.

Coronary artery aneyrysms or ectasia develops in 15-25% of
untreated children with the disease and may lead to ischemic heart
disease, myocardial infarction, or even sudden death.

In the USA, Kawasaki disease has surpassed acture rheumatic fever as leading cause of acquited heart disease in children

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Correct Answer - D
Ans. is 'd' i.e., neuropsychiatric manifestations

Hyperkalemia is seen in hemolytic urenic syndrome as a result of
renal failure.

ABOUT NEUROPSYCHIATRIC MANIFESTATIONS
* Neurological manifestations are used to distinguish between
Hemolytic uremic syndrome and Thrombotic Throm bocytopenic
Purpura.

• H.U.S. is distinguished from T.T.P by the absence of neurological
  symptoms and the prominence of acute renal failure.

• Recent studies, however have tended to blurr these clinical
  distinctions. Many adult patients with "T. T.P. lack one or more of the five criteria and patients with "HUS" have fever and neurological
  dysfunction.

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Correct Answer - C
Answer is C (Propranolol)
The symptoms of the patient and echocardiographic finding of
asymmetrical septal hypertrophy almost confirms the diagnosis of
Hypertrophic cardiomyopathy. Beta Blockers should be the initial
drug Q in symptomatic individuals
Management of HOCM
Avoidance of strenuous physical activity

Beta Blockers should be the initial drug Q in symptomatic individuals.
They reduce:
- Heart rate
- Blood pressureStiffness of left ventricle
- Fatal arrythmias

Calcium channel BlockersQ (verapamil and diltiazem) are alternative
drugs.
- They reduce-stiffness of ventricle
- Elevated diastolic pressures

Amiadarone may be used to reduce arrythmias.
Surgical myomectomy

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