MRCOG part 1- september 2009 recall

Discussion in 'MRCOG Forum' started by Waffoya., Sep 8, 2009.

  1. Waffoya.

    Waffoya. Guest

    hello everyone..i sat for the september exam yesterday and here is what i recall:

    EMQ:
    number 1:

    a. pelvic brim oval in shape, transverse diameter more than anteropost diameter.
    b. pelvic brim oval in shape, anteropost diameter more than transverse diameter.
    c. pelvic brim heart shaped, transverse diameter more than anteropost diameter.
    d. pelvic briim heart shaped, anteropost diameter more than transverse diameter.
    e. pelvic brim circular, transverse diameter more than anteropost diameter.
    f. pelvic brim circular, anteroposr diameter more than transverse.

    1) gynecoid pelvis.
    2) android pelvis.

    number 2:

    a.double stranded, adenosine monophosphate, guanine monophosphate, cytosine monophosphate, uracil monophosphate.
    b. double stranded, adenosine monoph, guanine monph, cytosine monoph, thymine monoph.
    c. single stranded, adenine monoph, guanine monoph, cytosine monoph, thymine monoph.
    d. single stranded, adenine monoph, guanine monoph, cytosine monoph, uracil monoph.
    e. single stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxyuracil monoph.
    f. single stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxythymine monoph.
    g. double stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxyuracil monoph
    h. double stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxythymine monoph,

    1) DNA.
    2) RNA.
    3) genome of HPV.

    number 3:

    a. edwards syndrome.
    b. exomphalus.
    c. gastroschiasis.
    d. patau's syndrome.
    e. down's syndrome.
    f. kleinfeltr's syndrome.

    1) abnormality in the anterior abdominal wall, usually to the right of the umbilicus, other genetic abnormalities rarely associated.
    2) abnormality in chromosome 18.

    number 4:

    a. azithromycin.
    b. amoxycillin.
    c. cefuroxime.
    d. benzylpenicillin.
    e. metronidazole.

    1) best treatment of acute upper UTI in third trimester.
    2)treatment of chlamydia in a non-pregnant woman.

    number 5:

    a. L1,2,3
    b. L1
    c. L2,3,4
    d. L1,2
    e. L3,4,5

    1) ilioinguinal nerve.
    2) genitofemoral nerve.

    number 6:

    a. streptococus, aerobic, G+ve.
    b. streptococus, anaerobic, G+ve.
    c. staphylococus, aerobic, G+ve.
    d. staphlococus, anaeobic, G-ve.
    e. pseudomonas, aerobic, G+ve.
    f. pseudomonas, aerobic G-ve.
    g.pseudomonas, anaerobic, G-ve.

    1) toxic shock syndrome.
    2) hospital cross infection.

    number 7:

    a. CMV.
    b. listeria monocytogens.
    c. treponame pallidum.
    d. HIV.
    e. human leucocytic virus.
    f. staphlococus aureus.
    g. streptococus.
    h. varicella zoster.

    1) a pregnant woman developed a "flue-like" illness with fever and general malaise, her baby was born with hepatosplenomegaly and jaundice.
    2) a woman has a history of 2 previous stillbirths, is now pregnant and at 37 weeks complained of fever and rash, her son was born healthy but at age of one year he had abnormal incisors and later deafness.

    number 8:

    a. hepatitis C, DNA.
    b. hepatitis C, RNA.
    c. herpes simplex.
    d. HPV.
    e. i cant recall the other options.

    1) associated with high incidence of hepatocellular carcinoma.
    2) papular skin rash.

    number 9:

    a. estrogen.
    b. progesterone.
    c. DHEA-sulphate.
    d. cortisol.
    e. cortisone.

    1) hormone maintains uterine quisence throughout pregnancy.
    2) hormone produced by the placenta and fetal adrenal gland, promotes fetal lung maturation.

    number 10:

    a. allantois.
    b. cloaca.
    c. mesonephros.
    d. yolk sac.

    1) rectum develops from the posterior portion if this structure.
    2) germ cells arise from it.

    number 11:

    a. B cell
    b. T CD4 cell
    c. T CD8 cell
    d. dendritic dells.

    1) major antigan presenting cell.
    2) could not recall it.
  2. Sardul.

    Sardul. Guest

    EMQ

    1)
    1) PGH2
    2)PGG2
    3) PGE2
    4) PGF2alpha
    5) Arachidonic acid
    6) Calcium
    7) Magnesium


    Q1) Synthesis of prostaglandins
    Q2) the first Prostaglandin produces.
    Q3) Oxytocin uses this as its intermediate precursor

    2) Shapes of the pelvic

    A) Round shaped pelvic brim with transverse diameter more than AP
    B) Round shaped pelvic brim with AP diameter more than the transverse diameter
    C)Oval shaped pelvic brim with transverse diameter more than AP
    D) Oval shaped pelvic brim with AP diameter more than the transverse diameter
    E) Heart shaped pelvic brim with transverse diameter more than AP
    F) Heart shaped pelvic brim with AP diameter more than the transverse diameter

    Q1) Gynecoid
    Q2) Android

    3) DNA and RNA
    A) DNA—Deoxyadenine------Double standed
    Deoxythymine
    Deoxycytosine
    Deoxyguanine

    B) DNA—Deoxyadenosine------Single standed
    Deoxytyrosine
    Deoxycytosine
    Deoxyguanine

    C) RNA—Adenine-----Double stranded
    Thymine
    Cytosine
    Uracil
    D) ) RNA—Adenine-----Single stranded
    Thymine
    Cytosine
    Uracil

    Q1) Messenger RNA
    Q2) DNA
    Q3) Human papilloma virus
  3. Sardul.

    Sardul. Guest

    4)
    1) L1
    2) L1, L2
    3) L1, L2, L3
    4) L1, L2, L3, L4
    5) L2, L3, L4
    6) L3, L4

    Q1) Ilioinguinal
    Q2) Genitofemoral.
  4. Sardul.

    Sardul. Guest

    5) Given in a single dose
    A) AZITHROMYCIN
    B) Amoxicillin
    C) Cephalosporin
    D) Vancomycin
    E) Gentamycin
    F) Benzylpenicillin

    Q1) A female with a chlamydial infection, and non-pregnant, which is the best medication?
    Q2) A female presents with acute upper UTI?
  5. Sardul.

    Sardul. Guest

    6)Infections
    A) Staph
    B) Strept
    C) Pseudomonas aeruginosa

    Q1) most common cause wound infection in hospital
    Q2) hospital acquired infection


    7) Statistics
    Another question on calculation for specificity and sensitivity.. People preparing for March 2010, please learn the formulas well.
  6. Whitedove.

    Whitedove. Guest

    8-THE FOLLOWING STATEMENTS ABOUT THE ADRENAL GLAND ARE CORRECT
    a-they lie anterior to the diaphragm ...........True.
    b-the left adrenal gland lies behind the pancreas.....True.
    C-lymphatic drainage is to the superficial inguinal nodes.....False
    d-the adrenal cortex contains chromaffin cells .........False.
    e-the adrenal medulla is derived from mesoderm ....False

    the ovary
    a- is attached to the ant surface of the broad ligament
    b- lies on the genitofemoral nerve
    c- lies in the angle between the ureter and the external iliac vessel
    d- - has visceral afferent fibres from the pelvic splanchnic nerve
    e- has lymphatic drainage to the superficial inguinal lymph nodes

    concerning the uterus
    a- it is formed from the mesonephric duct
    b- it has a lymphatic drainage in part to the inguinal glands
    c- the uterine artery passes below the ureter
    d- the uterine vein communicate with the vesical plexus of veins
    e-pain sensation from the body of uterus is carried by the pelvic splanchnic nerve

    about this stem am not sure if it was like that in the exam

    Obturator artery
    a- branches from the posterior trunk of the internal iliac artery
    b- passes through the greater sciatic foramen
    c- is crossed by the ureter
    d- supplies the hip joint
    e- may be replaced by a branch of the superior epigastric artery
  7. Whitedove.

    Whitedove. Guest

    The external iliac artery

    a-enters the thigh anterior to the inguinal ligament
    b- at its origin is crossed by ureter
    c- at its origin is crossed by ovarian vessels
    d-lies medial to the external iliac vein at its distal end
    e-give rise to the deep external pudendal artery .

    The pelvic splanchnic nerves..

    A- Are derived from the posterior rami of the sacral spinal nerves
    B- Supply afferent fibres
    C- Unite with branches of the synpathetic pelvic plexus
    D- Supply the ascending colon with motor fibres
    E- Supply the uterus with parasympathetic fibres

    In the anterior abdominal wall...

    A- Rectal muscle is intersected tranversely by three bands
    B- The posterior rectus sheath below the arcuate line consists of transversalis fascia only
    C- Above the costal margin the posterior rectus sheath is deficient
    D- The superior epigastric artery arises from the internal thoracic artery.
    E- The inferior epigastric artery arises from the femoral artery

    The pelvic surface of the sacrum.

    A- Gives origin to the piriforms muscle
    B- Gives origin to the levator ani muscle
    C- Is broader in the male than in the female
    D- Transmits the dorsal remi of sacral nerves
    E- Is in contact with the anal canal.

    The rectum

    A- Is supplied in part by the inferior rectal artery
    B- Is innervated by the inferior rectal nerve
    C- Is lined by stratified squamous epithelium
    D- Has its lymphatic drainage to the superficial inguinal nodes
    E- Possesse a complete layer of longitudinal muscle

    The Spleen

    A- has a notched posterior border
    B- lies in front of the costo-diaphragmatic recess
    C- is in contact with the body of the pancrease
    D- lies under the cover of the 9th to the 11th ribs
    E- is innervated from the renal plexus

    THE VULVA

    a-internal pudendal nerve
    b-anterior cutaneous of thigh
    c-inferior rectal
    d-illioinguinal
    e-obturator

    the pineal gland

    a-is situated at the anterior end of the third ventricle
    b-is innervated by parasympathetic nervous system
    c-produce melatonin
    d-may be calcified in the adult
    e-is most active during daylight
  8. Lavanya.

    Lavanya. Guest

    screening test for following
    1- syphilis treponemal antibody test
    2- syphilis hemaglutination test
    3- syphilis immobilization test
    4- HB-electrophorisis
    5- mcv
    6- mchc
    7- MCh
    8- serum iron
    9- paul-bennel test

    Q1) Thalassemia
    Q2) Syphilis
  9. wilmar.

    wilmar. Guest

    Sep. 2009
    Options
    1. oval inlet transversal diameter longer than anterposterior .
    2. oval inlet anterposterior dia longer than trans.
    3. heart shape inlet anterposterior dia. longer than trans.
    4. heart shape inlet trans. diam. longer than anterposterior
    5. rounded inlet .. T>A.
    6. rounded inlet ..A > T
    Qus.
    a. Gynaecoid pelvis.
    b. Android pelvis .

    ------------------------------------------------------------

    a. Adenine monophosphate
    Guanine monophosphate
    Cytosine monophosphate duple helix
    Thymine monophosphate

    b. Adenine monophosphate
    Guanine monophosphate
    Cytosine monophosphate duple helix
    Uracil monophosphate

    c. Adenine monophosphate
    Guanine monophosphate
    Cytosine monophosphate single helix
    Uracil monophosphate

    d. Adenine monophosphate
    Guanine monophosphate
    Cytosine monophosphate single helix
    Thymine monophosphate

    e. Diadenine monophosphate
    Diguanine monophosphate
    Dicytosine monophosphate duple helix
    Diuracil monophosphate

    f. Diadenine monophosphate
    Diguanine monophosphate
    Dicytosine monophosphate duple helix
    Dithymine monophosphate

    g. DiAdenine monophosphate
    DIGuanine monophosphate
    DICytosine monophosphate single helix
    DIUracil monophosphate

    h. DIAdenine monophosphate
    DIGuanine monophosphate
    DICytosine monophosphate single helix
    DIThymine monophosphate



    1. DNA.
    2. mRNA
    3. Nucliac acid o HPV.
  10. Guest

    Guest Guest

    ANY ONE TELL ME WHAT SHOULD BE ANSWER TO THAT EMQ ABOUT THE DNA . AS THEY ASKED ABOUT THE STRUCTURE OF BASES AND NOT THE NUCLEOTIDE OR NUCLEOSIDES
  11. Guest

    Guest Guest

    please answer these questions about gynecoid and android pelvis and the DNA QUESTIONS.
  12. Guest

    Guest Guest

    THE ANSWER TO PELVIS QUESTION GYNECOID AND ANDROID IS A AND C AM I RIGHT?
  13. Guest

    Guest Guest

    there was another emq about
    low molecular wt 2nd messenger system that is responsible for muscle relaxation
    .Camp
    .IP3
    .Mrna
    .others
    most of the MCQ came from past paper till 2005(old one)[/b]
  14. Guest

    Guest Guest

    GOOD JOB U HAVE MANAGED TO REMEMBER MOST OF THEM.
    i CLEARED IN SEPT 09 AS WELL.
    CHEERS
  15. Guest

    Guest Guest

    TO HELP

    plz answers of these quations

    السلام عليكم
    لو سمحتم أنا عيز أجابات هذه الأسئلة


    Sep 2009 recall

    EMQ:
    number 1:

    a. pelvic brim oval in shape, transverse diameter more than anteropost diameter.
    b. pelvic brim oval in shape, anteropost diameter more than transverse diameter.
    c. pelvic brim heart shaped, transverse diameter more than anteropost diameter.
    d. pelvic briim heart shaped, anteropost diameter more than transverse diameter.
    e. pelvic brim circular, transverse diameter more than anteropost diameter.
    f. pelvic brim circular, anteroposr diameter more than transverse.

    1) gynecoid pelvis.
    2) android pelvis.

    number 2:

    a.double stranded, adenosine monophosphate, guanine monophosphate, cytosine monophosphate, uracil monophosphate.
    b. double stranded, adenosine monoph, guanine monph, cytosine monoph, thymine monoph.
    c. single stranded, adenine monoph, guanine monoph, cytosine monoph, thymine monoph.
    d. single stranded, adenine monoph, guanine monoph, cytosine monoph, uracil monoph.
    e. single stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxyuracil monoph.
    f. single stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxythymine monoph.
    g. double stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxyuracil monoph
    h. double stranded, deoxyadenine monoph, deoxyguanine monoph, deoxycytosine monoph, deoxythymine monoph,

    1) DNA.
    2) RNA.
    3) genome of HPV.

    number 3:

    a. edwards syndrome.
    b. exomphalus.
    c. gastroschiasis.
    d. patau's syndrome.
    e. down's syndrome.
    f. kleinfeltr's syndrome.

    1) abnormality in the anterior abdominal wall, usually to the right of the umbilicus, other genetic abnormalities rarely associated.
    2) abnormality in chromosome 18.

    number 4:

    a. azithromycin.
    b. amoxycillin.
    c. cefuroxime.
    d. benzylpenicillin.
    e. metronidazole.

    1) best treatment of acute upper UTI in third trimester.
    2)treatment of chlamydia in a non-pregnant woman.

    number 5:

    a. L1,2,3
    b. L1
    c. L2,3,4
    d. L1,2
    e. L3,4,5

    1) ilioinguinal nerve.
    2) genitofemoral nerve.

    number 6:

    a. streptococus, aerobic, G+ve.
    b. streptococus, anaerobic, G+ve.
    c. staphylococus, aerobic, G+ve.
    d. staphlococus, anaeobic, G-ve.
    e. pseudomonas, aerobic, G+ve.
    f. pseudomonas, aerobic G-ve.
    g.pseudomonas, anaerobic, G-ve.

    1) toxic shock syndrome.
    2) hospital cross infection.

    number 7:

    a. CMV.
    b. listeria monocytogens.
    c. treponame pallidum.
    d. HIV.
    e. human leucocytic virus.
    f. staphlococus aureus.
    g. streptococus.
    h. varicella zoster.

    1) a pregnant woman developed a "flue-like" illness with fever and general malaise, her baby was born with hepatosplenomegaly and jaundice.

    2) a woman has a history of 2 previous stillbirths, is now pregnant and at 37 weeks complained of fever and rash, her son was born healthy but at age of one year he had abnormal incisors and later deafness.

    number 8:

    a. hepatitis C, DNA.
    b. hepatitis C, RNA.
    c. herpes simplex.
    d. HPV.
    e. i cant recall the other options.

    1) associated with high incidence of hepatocellular carcinoma.
    2) papular skin rash.

    number 9:

    a. estrogen.
    b. progesterone.
    c. DHEA-sulphate.
    d. cortisol.
    e. cortisone.

    1) hormone maintains uterine quisence throughout pregnancy.
    2) hormone produced by the placenta and fetal adrenal gland, promotes fetal lung maturation.

    number 10:

    a. allantois.
    b. cloaca.
    c. mesonephros.
    d. yolk sac.

    1) rectum develops from the posterior portion if this structure.
    2) germ cells arise from it.

    number 11:

    a. B cell
    b. T CD4 cell
    c. T CD8 cell
    d. dendritic dells.

    1) major antigan presenting cell.
    2) could not recall it……….IgG is produced by....

    From Ushabr:
    i am just trying to add on to the que. recalled


    que. no. 4(2)

    treatment of chlamydia -single dose oral drug in non-pregnant women

    que. no. 8
    there was another que. as cause of URTI
    other options were adenovirus,molluscum contagiosum, CMV

    que. no. 9
    hormone maintains uterine quisence throughout pregnancy and causes causes immunosuppression

    que. no. 10
    another option was anal pit

    From FARIDI:
    Options

    Somatotroph, acidophil
    Somatotroph, basophil
    lactotroph, acidophil
    lactotroph, basophil
    corticotroph, acidophil
    corticotroph, basophil
    gonadotroph, acidophil
    gonadotroph, basophil
    thyrotroph, acidophil
    thyrotroph, basophil

    Q1. Growth hormone
    Q2. Prolactin



    screening test for following
    1- syphilis treponemal antibody test
    2- syphilis hemaglutination test
    3- syphilis immobilization test
    4- HB-electrophorisis
    5- mcv
    6- mchc
    7- MCh
    8- serum iron
    9- paul-bennel test

    Q1) Thalassemia
    Q2) Syphilis




    mcqs

    1) The pelvic surface of the sacrum?

    a) gives origin to the piriform muscles
    b) gives origin to the levator ani muscles
    c) is broader in the male than in the female
    d) trnasmit dorsal rami of sacral nerves
    e) is in contact with the anal canal

    2) Prolactin.

    a) release is stimulated by TRH
    b) plasma levels are raised in the first trim of preg.
    c) release is increased by suckling.
    d) maybe produced by decidua.
    e) release is inhibited by metoclopromide.

    3) The foll disorders and org are correctly paired.

    a) opthalmia neonatorum: chlamydia trachomatis
    b) chancroid: Haemophilus ducreyi.
    c) sleeping sickness: Leishmania donovani.
    d) ringworm: Trichenella spiralis.
    e) non-specific urethritis: Toxoplasma gondii.

    4) The heart rate typically increases in response to:

    a) pain.
    b) hypoxia.
    c) ventilatory expiration
    d) increase in Intracranial pressure
    e) decrease baroreceptor activity

    a. 0.2
    b.0.67
    c. 1
    d. 10
    e. 20
    f. 45
    g. 100
    h .120

    A screening test for chlamydia infection of the cervix based on the clinical appearance of the
    cervix was carried out on the N women . the results of the screening test were compared with a gold standard test for chlamydial infection of the cervix . The result of the study are presented in the table below

    Disease present Disease absent
    Screen positive Disease present = w
    Screen positive Disease absent = y
    Screen negative Disease present = x
    Screen negative Disease absent = z

    The item above provides different values for N ,w, x ,y , and z . Calculate the
    q. 1 -- Sensitivity
    Q . 2-- Specificity
  16. Guest

    Guest Guest

    Hello again
    a. 0.5
    b.0.6
    c. 1
    d. 10
    e. 20
    f. 45
    g. 100
    h .120

    A screening test for chlamydia infection of the cervix based on the clinical appearance of the
    cervix was carried out on the N women . the results of the screening test were compared with a gold standard test for chlamydial infection of the cervix . The result of the study are presented in the table below

    Disease present Disease absent
    Screen positive Disease present = w=50
    Screen positive Disease absent = y=50
    Screen negative Disease present = x=50
    Screen negative Disease absent = z=50

    The item above provides different values for N ,w, x ,y , and z . Calculate the
    q. 1 -- Sensitivity
    Q . 2-- Specificity


    The above is the correct question
    Answer is :w is True positive
    Y is False positive
    X is False negative
    Z is True negative
    SO
    Sensitivity= True positive\True positive+False negative
    So sensitivity = 50\50+50=0.5
    Specificity=True negative\True negative+False positive
    Specificity= 50\50+50=0.5






  17. Guest

    Guest Guest

    1.gynaecoid pelvis= ant-post D 11cm & T 13.5cm. so it is slightly transverse oval.
    2. Android=triangular, T >ant-post
    3. DNA= ans h
    4. RNA= ans d
    5. HPV= double standard DNA virus so.ans b
    6. Exomphalus. It is a congenital abnormality in which the contents of the abdomen herniate into the umbilical cord through the umbilical ring. This may be associated with a number of other congenital abnormalities including: cleft sternum, anterior diaphragmatic hernia, heart defects (ventricular septal defect and ectopia cordis) and an absent pericardium.
    Gastroschisis means 'stomach cleft'. It is a congenital defect of the abdominal wall, usually to the right of the umbilical cord insertion. Gastroschisis Although associated abnormalities are less common in gastroschisis than exomphalos they do occur in 7-30% of babies. Deformities include anencephaly, cleft lip and palate, ectopia cordis, atrial septal defect, diaphragmatic hernia, scoliosis, syndactyly, and amniotic band. Intestinal atresia and malabsorption also occur.
    So possible ans is Gastroschisis
    abnormality in chromosome 18= Edward syndrome
    7. Single dose best treatment of UTI in third trimester - azithromycin.
    treatment of Chlamydia in a non-pregnant woman – Azithromycin and doxycycline are equally effective
    8. Ilioinguinal nerve – L1
    genitofemoral nerve – L1,2
    9. TSS: causative bacteria include Staphylococcus aureus and Streptococcus pyogenes.
    S. aureus is a facultatively anaerobic, Gram-positive
    S. pyogenes is fermentative; the organism is a catalase-negative aerotolerant anaerobe (facultative anaerobe)
    10. hospital cross infection=pseudomonas, aerobic G-ve
    11. a pregnant woman developed a "flue-like" illness with fever and general malaise, her baby was born with hepatosplenomegaly and jaundice –CMV
    12. a woman has a history of 2 previous stillbirths, is now pregnant and at 37 weeks complained of fever and rash, her son was born healthy but at age of one year he had abnormal incisors and later deafness- treponame pallidum (congenital syphilis)
    13. Associated with high incidence of hepatocellular carcinoma = hepatitis C, DNA.
    14. hormone maintains uterine quisence throughout pregnancy = progesterone
    15. Hormone produced by the placenta and fetal adrenal gland, promotes fetal lung maturation=cortisol
    16. rectum develops from the posterior portion if this structure=allantois
    17. germ cells arise from it=yolk sac
    18. Major antigan presenting cell. Dendritic cell
    19. IgG is produced by..B cell
    20. Growth hormone-Somatotroph, acidophil &Prolactin - lactotroph, acidophil
    21.to be con….
  18. Guest

    Guest Guest

    With respect to SI units t/f

    1.The energy of X-rays and Gamma reya is measured in electron volts (eV)

    2.The amount of a radioactive substance is measured in Grays (Gy)

    3. The absorbed dose of radiation from x-rays and nuclear medicine examinations is measured in grays (Gy)

    4.Radiation doses to individuals can be expressed in Sieverts (Sv) to indicate the degree of risk
  19. Guest

    Guest Guest

    PREGNANT WOMAN WITH FLU LIKE ILLNESS BABY BORN WITH JAUNDICE AND HEPATOSPLENOMEGALY ANS IS LISTERIA MONOCYTOGENES.
    IT IS A GRAM + MOTILE ROD,
    INFECTION IN ADULTS CAUSES MENINGITIS
    MATERNAL INFECTION LATE IN PREGNANCY WITH FLU LIKE ILLNESS
    NEONATES SHOW SYMPTOMS OF RESPIRATORY DISTRESS,BRADYCARDIA,JAUNDICE AND HEPATOSPLENOMEGALY
    ALSO NEUROLOGICAL SYMPTOMS N RASHES

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