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nbme - adam7124
#1
13- five days after sustaining a 6-cm laceration through the skin and subcutaneous tissue of the left upper extremity with a clean knife, a 52-year- old manhas increasing tenderness in the area of the laceration. Treatment at the time of injury included cleansing and dressing of the wound. the wound is now erythematous, and yellow pus is expressed when pressure is applied. which of the following is the most likely mechanism for the accumulation of pus?
A) Aortic stenosis
B) Dysplasia
C) Hyperoxia
D) Metaplasia
E) Vasoconstriction


14- An 80-year- old man has had poor balance for 6 months. he has a history of hypertension treated with hydrochlorothiazide. his blood pressure is 136/86 mm Hg. Neurologic examination shows mild tremor of the hands when his arms are outstretched and decreased vibratory sensation at the knees. Deep tendon reflexes of the guadriceps and gastrocnemius-soleus muscles are hyperactive. Babinski's sign is present bilaterally, He is unable to stand with his eyesclosed. which of the following is most consistent with normal age-related changes?
A) Babinski's sign
B) Hyperactive deep tendon reflexes of the gastrocnemius-soleus muscles
C) Inability to stand with the eyes closed
D) Reduced vibratory sensation at the knees
E) Tremor of the outstretched hands
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