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Q- A 28-year-old man is brought by his father to the emergency room with flaccid coma for 15 minutes. His father mentions that his son had seizures on a regular basis. This time, he lost his consciousness, fell to the ground and his body started jerking for about 3 minutes. While talking to his father, the patient becomes conscious, confused and complains of headache. Which of the following medications is the initial treatment for this condition?
A- Ethosuximide
B- Felbamate
C- Phenytoin
D- Topiramate

Q- In case of constrictive pericarditis, examination reveals increased jugular venous pressure with inspiration. Which of the following is considered positive in this patient?
A- Hepatojugular reflux
B- Kussmaul sign
C- Raynaud’s phenomenon
D- S3 gallop

Q- A patient with a history of lower leg fracture presents with severe pain, paresthesia, pallor, poikilothermia, pulselessness and paralysis of the affected leg.
Which of the following is the immediate treatment of this case?
A- Fasciotomy and tissue perfusion
B- Intravenous broad-spectrum antibiotics
C- Referral to orthopedics
D- Send home and observation

Answer and Explanation
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