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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Correct Answer - A
Ans: A. Low TSH with more t3 or t4

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Correct Answer - B
Ans. is 'b' i.e., Middle cerebral artery

Hemiplegia most commonly occurs due to lesion of middle cerebral
artery

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

Hypotension is the most common acute complication of
hemodialysis particularly among patients with diabetes mellitus.

Factors involved are :-
Excessive ultrafiltration, with inadequate compensatory vascular
filling, impaired vasoactive or autonomic response, osmolar shifts, overzealous use of antihypertensives

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Different chest signs
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