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FCPS Part-1 Past Papers.


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Anaesthesia, Nov 2011 paper 2

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1 wh ti tu a o tcic l e ea ue . a s re b u r ia t mp rt r: t a a piso mi ueo g s . pl e n x r f a. t b o c 2i 3 c .fo s 1 c o oy e i1 1 . f xg n s 2 c d o nto e i 2 c . f i gns 1 r e i t mp rt r b lw whc pe s r c nk e g sl ud .s e ea ue eo ih rs ue a e p a i i q 2 H mii i O s o l b . u dt n T h ud e y a2 .7 b4 .5 c3 .7 3 R pv c iei u e fr pd rl n e t e i ise do . o ia an s s d o e iua a a sh s n t a f a b pv c ied r glb u,e a s u ia an ui a o r c u e n b a i i ls t x .t s e s o i c b n efc o ft s . o f t n eu e c rc v r i q ik . e o ey s uc d poo g da t n . rln e c i o 4 h lleo p e d c oiee t rs i . afi f s u o h l f n sea e s a 2h us . or b 1we k . e c 3d y . as d 1 h us . 2 or 5 rg rigp o p o ise s ihbt r I a js rc lt ee . e adn h s h de t a e n ii ( c n u t e al h r o wa s meo t nrg rigi ia t a ino c MP, ihI s o p i e adn t n c i t o s v o fA , c wh t k d.u d ntrme e e a t n w wh tt eo h r p in i e . t o e mb r x c l o c b y a h te o t s o wee) r 6 v lmeo dsr u ind p n so fl wige c p . ou fi i t t b o e e d n ol n x e t o a ae .g b gne . edr
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c l i s lblyo adu .i d ou i p i f rg t 7 wh ti tu a o tF V v lme . a s re b u R ou . a ice s di s alw be t ig .n ra e n h l o ra hn b nto e be t t s c nme s r i . i g n ra h e t a r a ue t c i i p r o miu ev n i t n .t s at f n t e ta i l o d c nb me s rdb h l m dlt nme h . a e a ue y ei u i i uo to 8rg rigc a d efc wh ti tu . adn o n a f t a s re e e a c ne pani h mi o my c rim . a x li s e a f o adu c b d n te pan v s ua f w . o o x lis a c lr l o c e pan u e u l i r u ino arnav oi . x lis n q a ds i t t b o f ii le l 9 rg rigf w o g si at b ,i c l po t n l o . e adn l o f a n u edr t rp i a t e y o a rdu . a is b pe s r df rn e . rs ue iee c f c vs o i . i sy c t 1 .o o ih lt n l a e a rs me ba ei drc l 0f w fn aa i a g s s co s me rn s i t l o e y po o in l o. rp t a t . o a s r c a tpo u e . uf t n rd c d a b ta s le lr rs u . rn av oa pe s e c hpx . y oi a 1 . iho eo fl wiga t e t h sma bo v lbly 1 whc n f ol n n i me i a o c x ia aa i i t a o d n t rn - n a seo b c cin - y lie z c do eio - rp r l d d me o lpa d - t co rmie e p rh l ea ie - oc or rz p n 1 . iho eo fl wigdu wos n a gn 2whc n f ol n rg re s n ia o av rp mi .ea a l bi s obd dnta e . o s rie ii t s r cpo a oo .rp n ll dlio r .s pi in l 1 . iho eo fl wigu e i C Fb ti n tav s dlt r 3whc n f ol n s d n C u s o o a o i o a av rp mi .ea a l bnfdpn .i iie e cnmo iie .i dpn dme o rll . t poo edla e .iiz m t 1 .rgo c oc i pi n a a gn 4du f h ie n r me t l n ia z ai s riednta e . o obd ii t s r bnt gy eie .i lc r o n cdla e .iiz m t 1 .i u o iei a. aa ag s , bv s dlt r 5nt s x o d s . .n le i , .a o i o c a 1 . e adn p rc t mo wh ti tu 6 rg rig aa e a l a s re aice s sP . ra e T n bi n p rt x . e ho o i s c cn ta a t if mma oy .o n n inl a tr dmoep t n a ag s t a c d ie . r o e t n le i h n o en c ec u e me - be amoef q e t t a P a a e i .a s s tH .mi r r u nl h n h n c t e y n 1 .hl wi b r 6h u b c bo g tt E fr rs ig F mi 7c i d t un h o r a k ru h o R o de s . a l n y
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hsoyo s l gde u d r A i p s ie o aec u iu i r f i i id n e G s o iv y u r a t s t bn t o rg rigu igs c iyc oiei t i p t n wh ? e adn s n u cn lh l n hs a i t y n e a C a c so main n h p r h r aice s s . h n e f l a t y e t emi n ra e g b h p rae a . y ek lmi c d et ice s dr ko poo g dmu cec n rc in . u o n ra e i f rln e s s l o ta t s o 1 .e s r s p l o d r i b al x e t 8s n oy u py f ua s y le c p atie n l ev .r mia n re g bc ria n re .evc l ev s cv g sn re .a u ev dh p go s l ev .y o ls a n re 1 . co i f rn i a03b05c12d15 9Ma fs l a e s .. .. .. .. ou 2 . ci rd c di 0ma s e u e n a d rt no a a sh s . ua i f n e t e i o a c hpx , . y oi a 2 . iho eii t slrn . 2 whc n rt e ay x. ra a d slrn . ef a e u b i f rn .s l a e ou c s v f rn . e ol a e u d nto so ie .i u x r d 2 . olrn efc sc rica t i b :( p in d ntrme e 3i f a e f t ada c i t y o t s o e mb r s u e vy o e a t ,u t emant e wa h w i f rn a t al x cl b t h y i h me s o s l a e c u l ou y s p rs e c rica t i , c a i o a t n) u pe s s ada c i t me h ns f c i vy m o a d ce s gA c n u t n . e ra i n V o d ci o b ihbt gita ellr h s a e s s .n iin n rc l a p o p t a e i u c bdrc in l lc (o t iglet a ,x c t r d nt . ii t a bo k s me hn i h t e a t em o e o k rme e b ti wa b-) e mb r u t s i d . 2 . lo t efl wigaetiu aiso it ra jg lr en 4 al f h ol n r r t r o b e fn en lu ua v i e c p: xe t a s mods u .i i i s g n b lg a v i .i u l en n c s p r r h ri . u ei t yod o d o cpt l en . o ii v i a 2 . fe id c ino a e t e i b 1 mg k t ip n o e p i 5 A t rn u t o f n sh s y 0 /g ho e t n , t s a h p t nc C u e? y o o i. a s a h p re s ii . y es n ivt t y b d cH .e R c d cc n rc i y . e o ta ti l t 2 . iho eo fl wigh sseodn ce s 6whc n f ol n a t ri u lu . o ak t mie .e a n bpoo .rfl ct ip n a .ho e t l dmia oa . d z lm 2 . iho ei p t n bo c o i t r a b u e i a t ma i 7whc n s o e t rn h dl o, n e s d n sh t a c c p t ns ai t e ak t mie .e a n bpo oo .rp fl 2 . g rigi f rn o ec r c sa e n . 8r adn s l a e n or t t t me t. e ou e arc mme d dfr n e t e i id c in, . o e n e o a a sh s n u t , a o
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Jn () ue 1 Ma c ( ) rh 1 Jl () uy 1 S pe e ( ) e tmb r 6 F bu r () e ray 4 S pe e ( ) e tmb r 4 Ma ( ) y 3 N v mb r( ) oe e 2 Oco e ( ) tb r 4 A g s () u ut1 Jl () uy 3

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DrS l nA ma ut a h d U i dKn d m nt e ig o Fin s h l met h l y u s liy ua e r d , ep e o ep o reff o r lo igfrF S p e iu p p r b o kn o CP r vo s a e s y s n igmey u r c l dq e t n >> e dn o r e al e u si s o me g r 8 @g ic m a di lu la d u u 8 mal o . n wi po d l te wi ce it y uiy up o iey u h m t r dt o o f o r vd o r h n me I ma e mefe s h p yt s e a .t k s e lo a p o e tep o o Q' g o i e alds me1 0 h o l f s r w, r c l e o 9 q e t n wh ni n ewr t F S 1a d u si s e o c o oe CP - n ta wa teb gn igo ti bo , n h t s h e inn f hs lg a d n w tep o c mp ie to s n so o h o lo r s h ua d f s q et n. u si s o Ve myc mpeep oi iw o lt r fe l

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b . c . 2 .ho e t l f c so c s 9t ip n a ef t n v : e ata s n fli b .rn i t aln p e b . 3 . e ooa du o c oc i 0 k t rlc rg f h ie n a. p t n o t oa o o wi o z gwo n s . a a i t f h rc t my d o i e n ud b da e i p t n u d ron h mioe t my . ib t a i t n eg ig e c lc o c e c . d . 3 . orc sa e n rg rigifr r e ac v 1 c r t t t me t e adn nei v n a a e o ac mme c sa L .o ne t 5 btiu aiss lr oa ra .r t r b e i a t ot mi cl sp seir or h a rn l ln .e o t r t i t de a ga d i o g di rlt dt b r ae o l e . ea e o ae ra fi r s v 3 . e adn lf a rn l endan it 2 rg rig et de a v i ris n o a ifr r e ac v .nei v n a a o b lf rn l en .et e a v i 3 . de aiei a d dt lc l n e t e i t rsr ti 3 a rn l s d e o o a a a sh t o e ti t n c c s at x i .o i t cy 3 . e adn c pwh t tu . 4 rg rig v a s re a awa slw i al y e o s o k . l y o n lt p s f h c . b gv a c rt me s rme twh nc t e e i r a r m . ie c ua e a ue n e a h t rn t ti u c gv scu a o tp l n r e e . ie le b u umo ay d ma d ra ig5 m H oi e u l o1 mmh . e dn c 2 s qat 0 g 3 .a in i o u de s d.e tls i b 5p t t n t n rs e . a o s s y e h arda innc n u t n . it a o o d ci o 3 . v n i t nice s . 6i e tl i n ra d f l o a ad a s a ed v lp .e d p c e eo s 3 . mia f w wh ti tu . 7l n r l a o a s re a drc l po ot n l ovs o i . i t rp ri a t i s y e y o c t 3 . rn d c rs 8 ta s u e i a.o v r o ee eg fr it a o h r c n et n n ry om n o n t e 3 .a in o h n iedu n w c me i s o k,n wn 9p t t n t s e v rg o o s n h c k o h p re s e, eu P t s im i 5. ig o i ah moy i y et n i , S rm o a s v u s . a n s ? .e ls D s s bC F .R cA F .R 4 . a stu a o tmo t u t s. 0 wh t re b u n o x e t. ara t nt p i t p 4 . ci y e s y e e o 4 .rd i ln . c n rc lwh tt e a k djs rme e 1pe ns o e. a t e al a h y s e , t e mb r o ( u t eewa aq e t nrg rigi a wel hr s u si e adn t s l) o 4 . sen u e ecs wa sn tice s d 2i t ro s x ri n e t o n ra e . ah atrt .e r a e bc rico t u .ada u p t crs i t r rt . pr oy a e e a
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dbo dpe s r .lo rs ue 4 .us pe s r 3p l rs ue e a i df rn eo s soi a dda t l pe s rs .s iea c f y t l n isoi rs ue f c c b d ce s si oda e . e ra e n l g 4 . ada id xi . 4 c ric n e s . a c rico t u t b d s r c ae ( S ) . ada u p t o o y uf e ra B A , a bdf rn eo e ds soi v lmea de dda t l v lme .iee c f n y t l ou f c n n isoi ou c 4 .y o o s 5 ls s me a po u e b g li p aa u . rd c d y og a p rt s b h sh doa e nc t ls s . a y rls s a aa e c h so ia e . a x ss d 4 . g rigc rt s e t ,orc sa e n i 6r adn ao i h a hc r t t t me t s e d e : ac n e t aec rt at r,a u n reit ra jg lr en .o t n s r ao i reyv g s ev , en lu ua v i d n bfr db c n e s t no pe rc e la ca . me y o d n a i f rta h a fs i o o 4 .d n s emo eo a t n a 6a e o i n d f ci . o 4 .o e a n 7d p x mie 4 .rn ha t n cra inry h ma a ae r monn 8bo c il o e i da h t m c x t .al y rig 4 .r s a ef i ls .udo c oc i 93d p c l d o sf i f h ie s u l a bo dpa ma . lo ,ls b1 %d xrs .0 e to e c r g r lc a e . i es a t t n d n r l aie . oma s l n 5 .ls t rea t ry h cn me 0ca s he n i h t mi a a a q iiie . undn b plc rie . i apn o c l o an .i c ie d 5 .0 1 % bo dls , e lc b . 11 - 5 lo o s, pa e y . r a wh l bo d . oe lo b t ret sn r l aie . he i me oma s l n c r g r lc a e . i es a t t n 5 .umo ayl a n i 2p l n r i me t s g a i whc ln ro s k d r grs i t n .n ih u g o t i s ui e pr i n n ao b arc s i p r t l lua . e e s n ai a pe r e cfr db c n e s t no Sb o fs i . me y o d n a i f is n a ca o o 5 .u r pe rla cai . 3s pa lua fs i s . at ik igo pe rc ila ca .hc i n f rta ha fs i n ba t c e t fs r .ta h d o i t i r b cmo e wi rs i t n . v s t e pr i , h ao ds b lva v s esco s si s p r r .u ca in e s l rs e t u ei l oy 5 . h rat mp n,ee to efl . 4 c od y a i lc n as . s e a s p l sp seir / o t n u , . u pi o t r 2 3 f o g e e o b. a e t ru hsyodma t i frme . l v s ho g t li e sod oa n . . a s so e u p r ato me il ieo t mp ncme rn c p s e v r p e p r f da s d fy ai mba e 5 .laeme o em d r a iee c p . 5al r s d r ei t v v xe t 5 . a taf a cd n ,a in n w h vn be dn f m lf e r 6r d rfc c ie t p t t o a ig le ig r et a o i e o
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nlf e ep pl i t dwhc ca il ev d ma e et y u idl e , ih rna n re a g d a ao c lmo o .c uo t r btie n l .r mia g cto he r .rc la dfca . il a 5 .h rccp r o s mp t e i tu ks p l sal x e t. 7t oa i at f y a h t rn u pi le c p . c e a h at . e r, b ln s .u g , c a ra . ot , d p r t l lua . ai a pe r e 5 . s i t r q o in i 8r pr oy u t t s e a e ac ro do iepo u e p r x g nu i a in .ab n ix d rd c d e o y e ti t l o z 5 . co s v f rn wi 6 % N O 9ma f e ol a e t 0 u h 2 a 06 - .8 . .6 06 6 . iho fl wigjiti i 0whc f ol n on s mmo e be o val ama u rsen l . n bo t ra bsen ca iua .t ro lvc lr cs mp s p bs .y h i u i s ds o le jit .h ud r on 6 .os la o c ria s ia n re s p l 1d ra rmi f evc l pn l ev s u py 6 . g rigbo c o umo ays g n sc r c sa e n i 2r adn rn h p l n r e me t or t t t me t s e e ah sas g n a bo c u .a e me t l rn h s ba a o c ls ria, n t n l nto ln .n t mia ,ugc lu c i a u i fu g f o 6 . iho fl wigog ns c u e me ii ss c t p o e i 3whc f ol n ra i o m a s s ngt e e . o y g nc ln a c s u g b es asrp o o c s .te t c c u bsa h l c c u .t p yl o c s o chif e z .. l n a nu dn i ei .es r s a 6 .rerg rigta h a 4tu e adn rc e a c n an ma rp a e i av oi . o t is co h g s n le l b ic mpe ec ri g si ar yta tt b s .n o lt ata e n i l wa rc u e c cl t de i eim u t t r n l rn h s . ia e pt l l i h u p i emia bo c u l 6 .i o e be t t s c nb u e fr . a uigd a s a e. 5nt g n ra h e t a e s d o ame s r r n ed pc 6 . g rigr h ba ho e a i v i, a i tu 6r adn i t rc ic p hl enwh t s re e g c a h sv le . a av b r h i ln e t a lf . i t s o g r h n et g c c mme c sa lv l f 4 .o n e te e o t d i v ria .s et l c 6 .l go v n r l po u e whc h ats u d. 7fl in f e ti e rd c s ih e r o n i c 6 . mp i dan dit 8l h s rie n o y as le .pe n bt y s .h mu clmp n d . y h oe 6 . g rigifr r e ac v , a i tu . 9r adn nei v n a awh t s re . e o ac mme c sa L .o ne t 5
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bl sp seir or h rn l ln .e o t r t i t e a ga d i o g crlt dt b r ae o l e . a e o ae ra fi r e v dh stiu aiss lr oa ra .a r t r b e i a t ot mi 7 . g rigit ra jg lr en 0r adn n en lu ua v i e ac n iu t no s mods u , .o t a i f i i i s n o g n bh p go s l ev co s si a t r r , .y o ls a n re rs e t n ei l , oy cl g a n rei i tiu ay .n u l ev s t r t r, i s b 7 .n eirneir ee elr reyi aba c o 1a t r ifr c rb l at r s o o a rn h f apc .ia bb slr re .a i at y l a cv re rl rey .et ba at r dp seir ee rl rey .o t r c rba at r o 7 . iho fl wigd e nth v a ys n oys p l 2whc f ol n o s a e n e s r u py o ah p go s l ev , .y o ls a n re bv g sn re .a u ev , co c lmo o n re, .c uo t r ev , dto he r ev .rc la n re 7 . p t n i id c e wi a ih lt n l g n ,ed v lp 3a a i t s n u t d t n n aa i a a e th e eo s e h o bo c o p s nar yii t n ( t iki q e t ni wa as rn h s a m i wa rt i , I hn n u si t s l ra o o o me t n da o tma o t a a e ta di wa < 01, o ni e b u o c fht gn n t s . , nt d rme e e a t )whc a e ti rs o s l fr hs e mb r x c l y ih g n s e p n i e o t i b : ai f rn . ol a e s u bd slrn .e f a e u ch lt a e .ao h n ds v f rn .e ol a e u 7 . a i tu a o ta d lc l n e t e is at e aeb u d 4wh t s re b u mie o a a a sh t : .h y r o n c t ab mi o lu n 7 . g rigrpv c iewh ti tu 5r adn o ia an e a s re als c rit x . s ado o i e c bln d rt no a t n . g ua i f c i o o o ce u l efc iet a b pv c ie .q al f t y e v h n u ia an dp ai e u l ot a o b pv c ie .K s q a t h t f u ia an 7 . s t x lc l n e t e i i ab pv c iebrpv c ie 6mo t o i o a a a sh t s .u ia an . ia an c c : o cl o an ddme h c ie .d c ie .i t o an i 7 .u a t o im c u e t c y adai ap t n , a i t e 7s x me h nu a s s a h c ri n ai t , ts h e wh me h ns ? cai m ai bo k nc t i rc p osa p s s n p i jn t n . lc s io i n e e t r t o t y a t u c i t n c o bi bo k nc t i rc p osa a t n mi g n l . lc s io i c e e t r t u o o c a gi t n a ci bo k mu c r i rc p osa p ss n p i t r n l . lc s s ai c e e t r t o ty a t emia t n c 7 .o h v gv nad s o s x me h nu i ap t n ,o u 8y u a e ie o e f u a t o im n ai t n w e h v t gv a o h r o ey uaev r c u iu rg rigs c n a e o ie n t e d s ,o r ey a t s e adn e o d o d s , y? o ewh ab c u eo h p rae a .e a s f y ek lmi bb c u eo h p c le a .e a s f y o ac mi 7 . g rigrpv c iewh tstu : 9r adn o ia an e a re alw p ice s si s efi . o h n ra e t h lle s f bmoet x t a b pv c ie . r o i h n u ia an c ci i arc mi mi ue . s ee c x r t t
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8 .iea uim i peerdo e p n uo im b c u e 0pp rc r u s rfr e v r a c rnu e a s arn l x rt ni ls . a e ce i s e s e o bc riv s ua sa i yi moe .ado a c lr t bl s r i t 8 . ihlc l n e t e i c u e me h e go ie a 1whc o a a a sh t a s s t a mo lbn mi: c al o an .d c ie i bb pv c ie .u ia an c Pi c ied . ro an . l 8 .afi o p e d c oie t rs i 2h lle f s u o h l sea e s f n : a1 - 6we k .2 1 es b3h us . or c2d y . as 8 .rieo at b i s lf w o g st ru hs loic 3oic f u e s mall f ,o f a ho g mal rie f afc e b whc p rme e f t d y ih aa t r e :ape s uedf rn e .rs e r iee c f bd n i .e s y t crdu . is a 8 . a i tu a o tvs o i ?ai d ce s so ice s g 4wh t s re b u i s y . e ra e n n ra i c t t n t mp rt r e ea ue 8 . pe n n yrs i t r rt ice s swhc h r n i 5i rg a c e pr oy a e n ra e n a ih omo e s rs o s l fr h t:ae to e bpoa t ct yod e p n ie o ta b .srg n .rlc i .h ri n dpo e t rn .rg seo e 8 . h n ig o sc oe s c iy c oiei c n ridc t d, y 6i u t t n h ra u cn l h l s o tan ia e wh ? n n n ap e u h l ee t rs i d f in .s d c oi sea e s ei e t n c 8 .c ihbt r c si c f y. ard cn c rico tp t..y 7a e n ii a t n c b . . u ig ada u u bb o e d ce s ga c n u t ncb d ce s gS a dA c n u t n e ra i v o d c i .y e ra i n o n A n V o d ci o 8 . iho eo fl wigi c r c :a p 29 s O 1 O b 8whc n f ol n s or t . o 0 p 2 O % . o e p 26 s O 9 % c p 25 s O 6 % o 0 p2 0 .o 0 p2 0 8 . h w ma yp re t g o p p lt nmain n h p rh r a 9i o n n ec n a e f o ua i o l a t y et emi g c a c se i ?a< 0 b 6 % c 8 % h n e x t .5 % . 0 s .0 9 .i a rc r m i peerdo e a r uim wh ?ad et ls 0cs te ui s rfr u e v r ti r c u y .u o e s po u t no me a oi sbd s s o rla ehsa n rd c i f t b le .o e n t ee s i mie o t t 9 .rg n l ncs mp t e i s p l t s big a ga di 1pe a gi i y a h t u py o u l u l ln s o c n ta s te ao gwhc ca il ev rn mi d ln t ih rna n re 9 . g rigwh nto sn tu e i a d mia s reisc r c 2r adn e y i u o s d n b o n l ug r r e or t e sa e n i adse d it sie t t me t s .i n s n e t : t n 9 . C o ap t n s o po rs ieyice s gP it ras 3 E G f a i t h ws rge s l n ra i R n ev l e v n fl we b do p db a . a i t ec n io ?a T i d ge ol d y rp e e t Wh t s h o dt n ) hr e re o i d h atbo kb Mo i T p 1c Sn sary h ad Mo i T p 2 e r lc ) bt y e z ) iu r t mi ) bt y e h z 9 .n c s s e ei wa gv ni whc p wa 74,C 2wa 4o e a e c n r o s ie n ih h s ., O p s 6 , n H O wa 2 ars i t r a io i bt p 1rs i t r 0, d C 3 s 6 . pr oy cd s .y e e pr oy a e a s a fi r a dc mp n a e rs i t r a io i ct p 2rs i t r al e n o e s t d e pr oy cd s .y e e pr oy u a s a fi r a dc mp n a e rs i t r a io i dme a oi ak ls al e n o e s t d e pr oy cd s . t b l l o i u a s c a s 9 .e tidc t r f rla i ap l n r c pl r we g 5b s n ia o o peo d s .umo ay a i y d e : l a pe s ebv n r ua e dda t l v lmece ds soi v lme rs u .e ti lr n isoi ou c c .n y t l ou c dog np r s n .ra ef i uo
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9 . laet eba c e o V g sn reE C P a A r ua b 6Al r h rn h s f a u ev X E T ) ui lr ) c L ci l ) h rn e l )R c r n L rn e l ar ma c P ay g a d e ur t ay g a e 9 . b u C Fmo ta po r t sa e n i a i i utaiea e 7A o t S s p rpi e t t me t s ) t s l ft rt a r l o Pa mab h smoegu o et a bo dc h sc s iigefc f ls ) a r lc s h n lo ) a u hon f t e d a s re i C oodPe u ) b ob d n h ri lx s 9 .o im i bo di ee tial b ln e b .hoiein 8s du n lo s lc r l aa c d y c lr o c y d .iab n t . s o t n d ntrme e bc ro a e r t p i s o e mb r e o 9 . x m ma i i aicbs ccp l n r at r dc pl r s 9ma i mu p sn . v .v .umo ay rey .a i i l e a 1 0gu o eta p rsa rs me rn d et i c n e ta in 0 .lc s rn ot co s mba e u o t o c n rt s o df rn ei i c l d adf s nbfcla e df s nca t e iee c , s al : .iu i . i t d iu i .c i f t e f o a i t f o v ta p r ds c a t eta p r rn ot .e . c i rn ot v 1 1c li i c mpe ed p lr a inp a ei :aqsc mpe 0 .els n o lt e oai t z o h s n .r o lx bQ it ra cS s g n dT wa e . T n ev l . T e me t . v 1 2 Mu cerlx n t a c nb gv nt a a t ma i p a 0 . s l ea a t h t a e ie o n sh t t . c a rc r m b t b c rr c cs ta uim d s x ta ui u . u o uae . i rc r a u . ua 1 3R g rigL u a o ieal ree c p ( x c o t n d nt 0 .e adn a d n s ,ltu x e t e a t p i s o n o rme e b tI u s t e weelet i )ame a oi o a r e mb r u g e s h y r i hs . t b le f ta k t a dcsc r m bls c n . rd c db cst a a rc r m c n i ui u . s o c po u e y i h n ta ui e u . co s sbo dbanb re dc sd pe s n rs e lo ri ar r .n e rs i i o 1 4rg rigita rna p r o fca n rewh ti tu :agv 0 . adn n rca il at f a il ev e a s re .ie r et ge t r e rs l ev bn ret s b n iua ga d i o ra e p to a n re .ev o u ma db lr ln s cn ret t n o t mp n .ev o e s r y a i
P se b DrS l nA ma 0c mme t o td y ut a h d o ns R at n: e ci s o

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Thursday, March 15, 2012

Help me to help you guys!


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b igt a i i n trc iemoerc l dq e t n f m y ug y ! en h t dd o e ev r e al u si s r e o o o us I o o wi myc re i U , oc udn ta t eys ac fr gt n t h ae rn K s o l o c i l e rh o v lt s p p r a dq e t n . tidmyb s whl I o l a dsi a e t a es n u si s I r o e e t i c ud n tl e l po s t u d t t ep o wh ne e i e a y hn f m y u rmi o p a e h o l e v r g t n t ig r e o o. H p ype aa in a p rp rt ! o D ak d rh s k s a h u i ek a t e a t , Sln ut . a
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Friday, July 23, 2010

Medicine 25th May, 2010


H, a D . U T R L f m F MC L H R . iI m r B T E F Y r o J ,AOE I r dmylv l e tt rc la ma yq a I a t p s i a ti e e e b s o e al s n s s c n o o t t t y u bo . o r lgi v r mu hp p lr mo gp r 1 o r lg Y u bo s ey c o ua a n at c n ia e , h n salt U r on ge tjb a dd t s t a k o. d ig ra o . I n s emyn mea t ee do d p s a U bo . l d wr e wa a e a t h n f s o t t r lg Pz o i t myfl wign mewh nup s d p p r oU bo , a i ol n a o e o t s a e t r lg n me s D . U T R L R B T E FY

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P P R1a d2 AE n . D C N IM T EA S R O O FR H N WE S 1 E G c a g sc nb s e i t efl wigc n io sE C P C h n e a e e n n h ol n o dt n X E T o i a C a g i b d p s in ) h n e n o y o io t b MI ) c Se p ) le ( tp /ape up y ilg .r/ g/ o t n /ul 9 / / 1 2 ) h t :/ jrg .h s o yog c i n e tfl2 2 3 R 3 0 o c / d Mi a se o i ) t l tn s r s e A ri rg ri t n ) ot e ugt i c ao As n: A : 2 A o tN U A T B bu E R L U E a F r pi t esra ) oms r i te k miv b F r n t c od ) oms o o h r c C sd v lp f m i ) n e eo s r t o
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d F r t reg r ly r ) oms he em a es e ) As n; C ( tp /e . k e i.r/ k N ua_ u e) h t :/ nwip daog wi/ e rlt b i i 3 S C A IA I N A R LZ T O a U ino 1 ts ca v re r wi 5 hlmb r ) no f s a rl et ba t t u a h b U ino 5 hlmb r t 1 ts ca ) no f t u a wi s a rl h c F s no al a rl et bat fr s cu ) u i f ls ca v re r o om a rm o d Fe ina s cu ) lx o t a rm e ) As n: Bh t :/ k a s r.o Q Wh t i s cai t n o_ h _tp /wi.n wesc m/ / a _s a rla i _ ft e l i _ z o 5 4 S rk v lme to e ou a C rico t u d p n so i ) ada u p t e e d n t b H atrt d t r n ssrk v lme ) e r a e e emie to e ou c Ice s si h e r a e ) n ra e n a mor g h d Id p n e to v n u rt r ) n e e d n f e o s e un e ) As n; D TK W E A T Y N N XCL 5 C n rl e o spe s r e ta v n u rs ue a Ic i h e r a e ) n .n a mor g h b D ci ga n g t es p ie a ) e n rm e a i e t mi v c c D ci h atfi r ) e n e r al e u d ) e ) as n; bh t :/ o k .o gec m.kb o s i= V k tp /b o sg o l.o p / o k ? - 3 d 2 D c & g P 2 5 d = v +s d ce s d d r g ga n g t Mn Q C p = A 7 & q c p i e ra e + ui + rm+ e a i + n v e s p i h= n e= S p P _ Ma le mY A A s = & ib o _e + e s & le & iL E T u N AA N 2 C & a X o= o k r s s l c = e ut rs u 9 v d 0 E Q A wC # = n p g & = v ut t rs l e n m= & e = C 0 6 E A v o e a e q c p & & %2 i 0 e ra e %2 d r g 0 rm%2 n g t e 0 e s & = 0s %2 d ce s d 0 ui %2 ga n 0 e a i %2 s p i f v s fl as e 6 Wh tc a g o c r f m ligt sa dn p s in a h n e c us r yn o t n ig o io ? o t a V n u pe s r ic ) e o s rs ue n b A t r l rs ueic ) rei pe s r n a c S a ig ) we t n d C t n o sv s c n tit n ) u a e u a o o sr i co e . ) As n; A h t :/ tp /www.v h s lg .o C ric 0 u c in C 0 7h m c p y i o yc m/ ada %2 F n t / F 1 .t o o 7 A s l s n r o h rh pigds a e i e e ai f us s r mp o n i s e 8 Whc h p t i d n eo si pe n n y ih e a is a g ru n rg a c t a A ) b B ) c C ) d D ) e E ) As n; e 9
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A ld , osb e d l edi armo evl g , rs n swi a y wh e n ei r n e t i e pe e t t v l a h s o k s p ie a be dn f m v n es e . a sda n s h c , e t mi, le ig r c o e a i swh t ig o i t s DC I 1, 0 Mo tc mmo c u eo p l n r e oi s o n a s f umo ay mb lm? s a H atfi r ) e r al e u b Dt ) v c C n e ln ) a c ru g d P e mo i ) n u na e ) as n; B 1, 1 R g rigvt D s n h s e adn i . y te i s a 1h do ya ino usi k n y ) y rx lt o cr n i e d b 2 o usi k n y ) 5 cr n i e d c 1o ur i l e ) cr ni r s v d 2 i ln ) 5nug e B t i si ) oh n k n As n; A h t :/ nwip daog wi/ i mi_ tp /e . k e i.r/ k Vt n D i i a 1, 2 T e t n o ey ho lso i ft l? ra me t f rt rba t s e ai s s a E c a g ta su inwi b+ e ) x h n e rn fs o t h v b Wi b_ e ) t h v c A +e ) b v d A tD ) ni e ) as n;

1, 3 WH C I N T S P ID B O U O T RN IH S O U LE Y C L MO O . a Me ile t s ) da rc u b L t rle t s ) a ea rc u c If biu )n ol e q d S prc u ) u e ts e If e t s ) n rc u 1, 4 A o te t ra jga v i b u xen lu lr en a F r db rto n iua a da t A r ua v ) ome y e rma db lr n n . ui lr . c b C n e to c rt tin l ) o t n f ao i r ge d a c Pec sd e fs i b hn sen ced ma t i ) ire e p a ca e id t ro lio sod d ) e ) as n; c 1, 5 C p ai v i e h l en c a Pe e ti d l p c oa go v ) rs n n et e t rl ro e o 1, 6
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A l s n r o c ria r iewe k e sa dp rsh s ao g i e ai f evc li , l o b a n s n ae t e i ln a un r evc us la n r o re 1, 7 A q a o tC Ff dn s whc 1tu e c s b u S i ig , ih re t n 1 8 Da n s o t p odi 1 twe k ig o i f y h i n s s e A s bo dc l r n lo ut e u 1, 9 Mo tc mmo c u eo S B C T B C E I LE D C R I I s o n a s f U A U E A T RA N O A D T S a S a ha ru ) t p ue s b S ep Vr a s ) t r. id n i c S rpp e mo a ) te n u n e d S a he iemiis ) t p pd r dt i e ) as n; b 2, 0 C u eo g sg n rn ( . efrn e swsn tgv ) a s f a a ge e C p r r g n ei o in a Cb tlu ) .o ui m n b C C l n d hi ) . .j g a l u i c T t n st x ) ea u o i n d C s p iu ) . et m c e ) as n; dh t :/ nwip daog wi/ a _ a ge e tp /e . k e i.r/ k G s g n rn i i 2, 1 T p o o n a n co i y e f me t l e rs ? s a C so s ) ae u b G n rn ) a ge e c Ft ) a d C a ua ie ) o g lt v e Fbiod ) ir i n As n; C h t :/ o k .o gec m.kb o s tp /b o sg o l.o p / o k ? i= 4 B k riC p = A 5 d = me t lft n co i h= n e= i d c 1 JH nE & g P 2 & q o n a+ a + e rs & le & i8o s p K ka s a 9 z B & a X o= o k rs l c = e ut rs u 4 T y IWl B JE A s = & ib o _e ut t rs l e n m= & Q & & v d 0 D Q A wA g # = n p g & = me t l 0a %2 n co i e = C Y 6 E z K v o e a e q o n a%2 ft 0 e rs s & = as f fl e 2, 2 Mo to bc ro a ea s rt no usi s f iab n t b op i c r n o a Po il . u e ) rx c t b a b Dsa c t b ) i l.ue t c L o o h ne ) op f el d C l c igd c ) ol t e n ut e . ) As n; A h t :/ o k .o gec m.kb o s tp /b o sg o l.o p / o k ? i= e X WU z C p = A 1 & q bc ro a e ra s rt n h= d p k 0 K Mo & g P 4 4 d = iab n t + e b op i & le o n e= C p P 0 I 0Q t b & io s T u C O lfo D B s = & ib o _e ut c = e ut rs u 1 v d 0 C Q A wA w& a X o= o k rs l t rs l e n m= & e = C Y 6 E & & A v o e a e q bc ro a e 0e b op in f fl # = n p g & = iab n t %2 ra s rt & = as o e 2, 3 T eewee4 5q a o tad seo e hr r _ s b u lo t rn
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2, 4 S i lsfr lo t rn rla e t u o ad seo e ee s mu a H p ra rmi ) y en te a b H p k lmi ) y o ae a c H p rae a ) y ek lmi d Ak ls ) l oi a s e ) as n; c 2, 5 Ad seo ec u e lo t rn a s s a H p rac mi ) y ec le a b H p rae a ) y ek lmi b A io i ) cd s s c H p ra rmi ) y en te a d ) as n; c

2, 6 D cad seo ewi la t e lo t rn le d o l a H p n te a ) y o a rmi 2, 7 A Ha t o D cs n a L o o h ne ) op f el b Dsa c t b ) i l.ue t c C l c igd c ) ol t e n ut d B wma c p ue ) o n a sl As n c 2, 8 F r i ada ry h o t n res n sf est o cr rin h t m p i ev e d i r o c c b a O t c is ) p i ha ma c b Me il e iua eb d ) da g nc lt o y c L t rl e iua eb d ) a ea g nc lt o y d S pa ha ma i n ) u rc is t . c e U ro t n ) pa p i . c As n; D h t :/ nwip daog wi/ i a in ry h tp /e . k e i.r/ k Cr da _h t m i i c

2, 9 A p ro s f r gf m d h da in whc inrpa e n i es n uf i r e n o e y rt , ih o e lc me t s o mo ti ot n ? s mp ra t a C ) a b Mg ) c N ) a d K ) e C ) l As n; C 3, 0 Wh tt gv t Icvt me i de a o ie o n i a n n it


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a Nt ) us b Y u ut ) ogr c Eg ) g d G e nv g t be ) re e e a ls e Mag r e(u hnlei ) rai s mt i i t n k ) As n; D 3 1 N t rl n io g ln a ua a t a ua t c a H pr ) e ai n b Wafr ) r i an c A pr ) s in i d Pa mio e ) ls n g n e Fbi ) ir n As n; D 3, 2 E d g n u pg n i c rnch moy i n o e o s ime t n ho i e ls s a H mo iei ) e s r d n b L ou cn ) i fs i p c A t rc t pg n ) n ha o i ime t c d ) e ) As n A

3, 3 I awad a ac i rnh s i lal h c i rnt eeh v s me n r, t hl e o pt , lt e hl e h r a e o d a d p r n n ds bly h p rn so s c c i rnaes f r gf m ema e t i i t e ae t f u h hl e r uf i r a i t d en o a D na ) e il b A gr ) ne c B rann ) ag iig d D pe s n ) e rs i o e A c pa c ) c e tn e 3, 4 S u r ro o v r n e q ae o t f ai c a a Me n ) a b V rt n ) ai i ao c S a d r d va in ) t n ad e it o d Me in ) da e A ua y ) c rc As n C 3, 5 Me nIcwi a n t h a Ici s mpes e )n n a l i z b D ci s mpes e ) e n a l i z c Ici sa d r d va in ) n n t n ad e it o d ) e ) as n; bh t :/ tp /www.t tb ree .d / t r/a a H ml a lDs.t sa .ek lye u ~sakJ v / t / mpe i h m S t 3, 6
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Wh ti t ea e t id xo adu ? a s h rp u i n e f rg c 3, 7 D u c n ridc t di rn lalr rg o tan ia e n e a fi e u a A k cn ) mi i a b C lrmp e io ) hoa h nc l c V n o cn ) a c my i d P n in ) e cl l i e ) as n; a 3, 8 D u fr y et yods i pe n n y rg o h p rh rii n rg a c m a Me hma oe rp l yo rcl ) t i z lpo yt rua i h b Pu ) p c R do c ieidn ) a ia t v o ie d T t l h rd c o ) o a t yo e t my e L o s lt n ) i l ou i g o As n B 3, 9 Whc wi n tbpe e ti aln h mat ma( wss n r o ih l o l rs n n u g a ro i t e ai f o p l n r h mat maa dq wsa k da t ee do s n r ) umo ay a ro n s s e t h n f e ai o a C i ls no xa c e t ) on e i n ry h s o b Mo t a y t ma i ) sl s mp o t y c c Mo t Ds o ee icd n l ) sl i v rd n ie t y c y d B ng ) e in e C ri g i ls nae ) ata e n e i ra l o As n E 4, 0 Df rn eB h p rls a db ng t mo iee c W y epa i n e in u r f a a H p rls iv d ss r u dn t s e ) y epa i n a e ur n ig i u s a o s b B ng t mo me a t s et t s e ) e in u r t sa i o i u s z s c B ng t mo s o a ge s ego h ) e in u r h ws g rs i rwt v d H p rls s o pe mop im ) y epa i h ws lo rhs a i e B ng t mo i s r u d db c p ue ) e in u rs ur n e y a s l o As n E 4, 1 A rp yme n to h as a D ci c ls e ) e n el i z 4, 2 Pe l n n c n io o oa c vt rmai a t o dt n f rl a i g i y a Ey ho lk ) rt rpa i a b L u o lk ) e k pa i a c SC ) C d L h npa u ) i e ln s c e ) as n b 4, 3
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A s n r wa a o tsug we b r y do i whc h g v e ai o s b u t re b e s n rme n ih e a e n uoo ia s mp o I s i rsa dc n us n t e a k d e rlgc l y t ms , ez e n o v lo s h n s e e u i t a wh to h r y t m c nb fu di t a c i a da sws h t a t e s mp o a e o n n h t hl n n d GU O L C MA . on t n t t a t e ddn tt l a o tP R WI E P it o o e h t h y i o ak b u O T N S A N ( i hmak o fc o frh a T I br t r) n a e r oe e d 4, 4 S b c s l ln saepe e ti u mu o a ga d r rs n n a So c ) t ma h b G lba d r ) al ld e c D oeu ) udnm d S lit sie ) maln e t n e P n ra ) a ce s As n C

4, 5 A t r a te t mywh tc nh p e fe g src o a a apn a Maa s pt n ) lb o ri o b S e t re ) t a oh a c Ae a ) n mi d ) e ) as n c 4, 6 A t r a te t myB 2i n ta s re d et d f in yo fe g src o 1 s o b ob d u o ei e c f c a P r t l el ) ai a c l e s b C if el ) he c l s As n A 4, 7 G srp rs te t n ( s p r1mebt a a to ae i ra me t l t at s a h) a Me o lpa d ) t co rmie 4, 8 A s rt no ln c anftya is b op i fo g h i a t cd ? o a Iu )l m e 4, 9 Bl s l aea s re wh r? i at r b ob d ee e s a T r n llu ) emia i m e 5, 0 Bl a isaec nu a e wi whc a n a i t fr bl s l i cd r o jg t d t e h ih mio cd o om i at e s a T uie ) ar n 5, 1 Whc h r n Icg sr c n rc in ih omo e n a ti o ta t ? c o A G S RN ) ATI B CK ) C C S ce i ) e rt n c Gp ) i As n A 5, 2 R p ueo p s wal f u d n l le wi d ma e u t r f o t lo d o e a uc r l a g l a G srd o e a at r ) a to u d n l rey
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5 3 L f rn l enrlt nt a ra et e a v i ea i o ot o a At ) n b Ps ) ot As n A 5, 4 Fn l o ia c mmo mo o p t wa n tr ah y a C rio pn l rc ) ot s ia ta t c b Ap amo o n uo s ) lh t r e rn c U p r t r e rn ) p e mo o n uo s d C rba c re ) ee rl ot x e ) as n b 5, 5 T eewa aq a o tijr a T , 8lv l n d a k a o twa hr s s b u nuy t 4T e e a d y s d b u t wi h p e , h ie ween tsrih fr r ega k s m ta t l a p n c oc s r o tag t owad , s i u rc l n ls ne cd syn trme ed ei t t o o e br 5, 6 S rt hrf xman an te c el e it is a Mu cet n ) sl o e b B ln e ) aa c c Ln t ) e gh d ) e ) as n c 5, 7 T eewa q i whc o t n wee(og tq ) hr s s n ih p i s r fro s o a P n iinc ru ls ) a cna op ce b Me s esc ro c ls ) s i r op s ce n c R fnse dog n ) uf i n ra s i d G li e d n ) og t n o s e . ) 5, 8 R g rigp l n r we g pe s r e adn umo ay d e rs ue a C l ds c me s rdb awe g s a e c t e e ) al o z a ue y e d e h p d ah tr b U u l b 1 - 5mmh ) s al w 0 1 y g c Me s r o r a r l rs ue ) a ue f i ti pe s r t a d ) e ) as n b 5, 9 D r gs soe ui y t l n a B t v n r lsc n rc s l n o s ) o h e ti e o ta t i t e u l c mu a y b 5 % fl go v n r lso c r ) 0 in f e ti e c us l i c c Bo f w ici c rn r at r s ) ld l n n oo ay rei o e d . ). e . ). as n a
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6, 0 F se tc n u t gf esi h at a ts o d ci i r n e r n b a P rij ) uk e n 6, 1 Go rlr rs ueicd et lmeua pe s r n u o a A frn c n tit n ) f e t o sr i e co b Efrn c n tit n ) f e t o sr i e co As n b 6, 2 A s n r wa a o tdjx t x i e ai o s b u i i o it on cy 6, 3 T e t n o a u ea t ma ra me t f c t sh a T ru aie ) eb t l n 6, 4 Io iz s eefc sc nb pe e t db s na i i f t a e rv n e y d d e a P r o ie ) yi x d n 6, 5 N tac u eo c rig ncs o k o a s f ado e i h c a C rict mp n d ) ada e o a e b Mi ) c A rt mis ) r h a y d H mora e ) e r g h e A ri ds e t n ) ot i c i c s o As n d 6, 6 A p wi d fr dn s , F + e t t eome o e A B v h a L po y ) e rs 6, 7 Mo ti p ito e u a ieif ma in s mp on f x d t v nl t a o a S ga i < 10 0b N u rp i c Po en> g d ) p rvt y .2 ) e to hl ) rt i 2 | l s d . ) e ) as n c 6, 8 Mo o y e n c ts a Mo ta u d n c l i crua in ) s b n a t el n i lt s c o b D n tg o to v s es ) o o o u f esl c N tp a o y i ) o hgct c d ) e ) 6, 9 T b ruo sme igt u ec lu nn is i a Iclmp o y e i c f ) n y h c ts n s 7, 0 Ba d r ac u e b ld e c a s d y a S hso o h e t ba ) c i s ma a ma o im t 7, 1
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Whc t mo d e n th vb n me a t s ? ih u r o s o a o e t sa i s a T yod ) h ri b Le )i r v c Ln ) ug d Be s ) ra t e Kd e ) in y As n b 7, 2 E T O E O P c nc u e S R G N C s a as a Be s c ) ra t a b O ayc ) vr a c E d me r l a ) n o ti c a As n a 7, 3 R s u l o. ei a v l d a A u to areti t eln at r ma e h lt n ) mo n f ilf n h u g fe a x x aa i o 7, 4 Vt l a a i i c p ct a y a A t r ma is i t n ma e prdv lmei v ) fe a x n pr i , x x i ao e ou s c 7, 5 C rico t u ada u p t a Me s rdb f kpicpe ) a ue y i r il c n 7, 6 R g rigs pp rt yodga d e adn u aa h ri ln a L c t di co epo i t t I Ft yodat r a drc r n ) o a e n ls rx y o N h ri rey n e ur t mi e lrn e l ev a t elv l f r o h ri jn t n ( e mb ay g a n re t h e e o ci t yod u c i . R me r c o t a s pga d h moec n t n p s inwhl I Fr aibei h t u ln s v r o sa t o io t i N vr l n e a p s int a yd a k a o ts pga d lc t ni i ) o io .h t t s y s d b u u ln s o a i . s mp o t 7, 7 Dg sr tin l ia ti r ge c a a B u d da t r r a t B l o dg sr , o t r r b p s. ) o n e n ei l n . el f ia ti p sei l y o t oy y c oy Bl el y 7, 8 Whc i n tc v rdb d e c ria fs i ih s o o ee y e p evc la ca a T yod ) h ri b P rt ) ao i d c S en ced ma t i ) t ro lio sod d S b n iua ga d ) u ma db lr ln e S big a ) ul ul n As n e 7, 9 Cru u t n i md c i c o a C mbn t no f x n e t n in a u t na da d c in ) o ia i f l i , xe s , d c i n b u t o eo o o o 8, 0 F r ug r t i s o l ba ra h df m me il ie wh o s rey i a h ud b po c e r o da s , y d a D trme e c oc s s r ) n e mb r h ie , oy B ) C )
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8, 1 Mit rt nrf xc n r i lc t di c ua i el e te s o a e n o e a Ban t m ( o t emit rt nc n r) T eesas as ca ) rise p n i n c ua i e te . h r o l o a rl mit rt nc n r b ti wsn ti t ec oc s c ua i e te u t o o n h h ie 8, 2 Da n s o p e mo h rx ig o i f n u t oa ? s a Xa c e t ) ry h s 8, 3 A po c t it ro t l p c fr lua efs ndan g p ra h o n ec sa s a e o pe rl f i ria e uo a L we p r o s a e( e rv s ua b n l i u p r ato ) o r at f p c n uo a c lr u de n p e p r s S A Eb tlwe p r o RB P C u o r at f I) 8, 4 P h vn u p rs i t r ta tI F t e c e tp i t a rl v d t a ig p r e pr oy rc N , h n h s an h t ei e a e b s t gu y ii p tn a P r adt ) ei ris c i 8, 5 I n p rnf i whc s b t n ec n i hg e t a pa ma n e ho l d ih u sa c o c s ih r h n ls u a N ) a b Bc ro a e ) iab n t c Gu o e ) lc s d Ue ) ra e Ab mi ) lu n As n d 8, 6 R n l ls f w i d t r n db e a pa ma l s e emie y o a PH ) A 8, 7 WH T I T U A O T U P RH L O A A C N L A S R E B U PE AF F N L A A A O t n wr b u e i eim, ev s p lmp , lo s py D t ) pi s o a o t pt l h u n re u ,y h bo d u l. n rme e e a t e mb r x c l y 8, 8 J u dc , e a is dare 1 d y at r o emarw ta s ln a n ie h p t i ir a 0 a s fe b n t, h r o rn pa t a G atv h s ds a e ) rf s o t i s e 8 9 Ey ho lso i ft l, y eo h p re s ii ra t n rt rba t s e ai t p f y es n ivt e c i ? s s t y o a 2 ) 9, 0 WH C V C I EI N T LV IH A CN S O IE A Me s s ) al e B Mu s ) mp C Rbl ) u el a D Y l w fv ) el e r o E T tn s ) ea u As n e
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9, 1 Ts u fr L t pn (h r weet s meq i e c p p r i e o H A y ig t ee r wo a s s n a h a e) a B c a mu o a ) ucl cs b L u o ye ) e k c ts c Si ) k n d B n marw ) oe r o As n b 9, 2 L dn a P oe t a L - 5( - as c r c b ti wsn ti c oc s t a k A L H ) 4 L l l l or t u t 34 o e o n h ie , h n s L A D ddN g b t c oc ss l n o s :) y i T v o h h ie i t e u l mu a y 9, 3 C u ae un a d q ia a C l c ino n rero sa dro lt ) ol t e o f ev o t n o t s e

9 4 Plc riei nc t i i apn s io i c o n a A os ) gi t b A t g ns ) na o i t 9 5 Da n s o kn fl ss n rme ig o i f l eet y do s i r a B rb d ) ar o y 9 6 Whc du it rr wi wafrn ih rg n ees t h r r ai a C me iie ) e t n d 9 7 A v reefc o c lrrma ie d es f t f hopo z e n a E ta yi d l ) xrp r a mi 9 8 Me h ns o a t no c p o r cai m f c i f a t pi o l a A eihbt r ) c n ii o 9 9 F a ueo c e tr f a a Po rhs ) lmop im i b N ce r a i ) u la rt o c H p rls ) y epa i a d Iv s n ) n ai o As n d 10 0 Mo tc n esh vwhc flme ti t e s acr a ih i l a n n hm a Kr t ) er i an b Ds n ) e mi c Vme t ) i ni n d N uoiray ) e rf i r bl e )
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as n a 11 0 P rn o lsi s n rmei a s ca e wi aa e pa t y do c s s o it d t h a C be s ) a ra t b A e oc ln ) dn aug c S lc lc ln ) mal el a u g d C po t t ) a rsa e As n C

12 0 H p t i bI Fi mo i rdb e a is N s nt e y t o a S r c at e ) uf e n i n a g b S fc a t o y ) r e ni d a b c C r at oy ) oe n i d b d Ea t o y ) ni d b 13 0 H p t i A if whc t s t p r r e a is n, ih e t o ef m t o a H pA n BV R S ) e d IU b Blu i ) i bn i r c Sp ) gt d Ab mi ) lu n As n c 14 0 Whc h r n ihbt is l s ce in ih omo e n ii n ui e rt ? s n o a S ce i ) e rt n b Ck ) c c S ma o t t ) o t sa i n d Gu a a ) lc g n e Vp ) i As n c ( sag n rlueal i h r n si lt is l rla ea d A e ea rl lgt omo e t a e n ui ee s n mu n k wna I C E I ) n s N R TN 15 0 MO T I S R S H R N ( wa as i ls p r1 S MP T E S O MO E i t s l n a t at ) o a E ie hie ) pn p r n b Is l ) n ui n c Go h ) rwt d C ri l ) ot o s e At ) ch As n d 16 0 I C s igs n rme n u hn y do a N u rp i aeIc lmp o y e a deo iihl aeD c ) e to hl r n ,y h c t s n is p i r e s n s 17 0 A s l s n r o ga e ds a e i e e ai f rv s i s mp o e 18 0 Wh t p teno a t o isi mut l my lma( p in weevy a s a t r f n i de n lpe eo b i ot s r r o wer, te a t rme r) i n x c l e mbd d y
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a T e h viA M, i df rn rt sa d%a e e g ) h y a g , G n iee t a i n f o gs , IA 5 m, 1 g G 2 g g g M 5 m, 0 m b IM:iG S 1 2 )g g :0 19 0 H Atp i R L yen A a H AD 4 ) L R 10 1 A S L U EL MP O Y O I N T P E E T I B O O T Y H C T SS O R S N N a Se ) l b If Mo o e ce s ) n. n n u lo i s c Wad r (u hnlet a )ga uo t s ) les s mt i i h t rn lma o i k s d ) e ) as n a( ts r) n ue 11 1 P wi ai r i b tef rs , h t s n ivt (h s s mp o t t r his u t ry a h p o o e s ii t e e y t ms h t t, l t y wrnt efr o as l s n r ) WA S da n s i h om f i e e ai , T ig o i mp o s a SE ) L 12 1 Pa ee sc n ridc t di lt lt o tan ia e n a S ln me ay ) pe o g l b A u ei ) c t mmu et rmb c t p na n ho o y o e i c C a uo a h ) o g lp t y d Dc ) i As n b 13 1 Wa e mo e t ru h t r v s ho g a P rs ) oe b Me rn ma r ) mba e ti x c Po enc a n l ) rt i h n es d F s i a e dfs n ) a cl t d i i i t uo As n A ( t r h n es wa e c a n l ) 14 1 F s i a e df s n a cl t d iu i i t f o a P s ieta s otto g po enc a n l o c r r rt n ) as v rn p r ru h rt i h n es r ai po i s e e 15 1 Whc fc o srn h np d crlt n hp ih a t r te t e t o ea i s i o a Hg poe s n l kl ) ih rfs i a s i o l s b Hg s ca s i ) ih o il kl l s c Hg l q aie ) ihy u lid f d L gc l n west q ) o ia a s r o s e A t elt nn ) c i i e ig v s As n E h t :/ o sg o l.o ve ra v q c c e B tp /d c .o gec m/ iwe? = & = a h : 9 R Y_ I: 0 s lQ Jwww. c poga / f/ 0 5 2 2 0 1 rbn o .d+ c r g .r.u ap 2 0 1 / 0 5 2o is np f a a t e lt nn + o+ + o t r h= n g= k pd b& ri= D E S L i +i e ig fr a d c o& le & lp & i= lscd A G E h 3 v s a n N N 6 c L 5 k t 1 G O Ib X e c e L P D 7 a S h my N sB Wq MO B P X Q V u 6 K A U wMc eru 2 - V Z x 5 7 K mi1 q k O h N r T xk N F
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Z 8 X 5 y K A Jr h o WF 7 n I2 Z V T v Z K 3 w_ h z 4 rG 1 7 Jf J O b P E5 o 3 X 9 3 A mA 1 E U E 0 s = H E b D ry z4 a c J r z u o w a & i A It T Pt e t 4 Y v MnI a 8 Z g D 16 1 Whc i moea ge s e( l i ls p r1 ih s r g rs i as n a t at ) v o a B s l el a ) a a c lc b S u o sc lc ) q ma u el a c Mea o ) ln ma As n b 17 1 Ns e b de ae i l o is r s a RR ) E b SR ) E c Mic o di ) t hnr i a d G li o is ) og b de As n a 18 1 G e t s ae o c rba c re i c v rdb ra e t ra f ee rl ot x s o ee y a Eb w ) lo b Ke ) ne c Tu ) h mb d S o le ) h ud r e Ak ) nl e As n C

19 1 D va ino t n u o po rs n whc N i d ma e e it o f o g e n rtu i , ih .s a g d o a F s il ) a ca b H p go s l ) y o ls a c S b n iua ) u ma db lr d E e g r sp a ) d n e we t h l e ) as n b

10 2 A p wi da t l mumu i a ri ae a dc lp igp l , t t isoi h c r rn ot ra n oa s c n us e da n s ig o i s a A ri se o i ) ot t n s c s b Mi a se o i ) t l tn s r s c A ri R ) ot . c d Mi a R ) t l r e ) as n c

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S B D R LH MA O U - U A E T MA C U E AS A S PC R B A V I ) U E E R L EN B I FC R B A V I ) N E E R L EN C A T D V S O O MA ) N III N F D P s. iio o MA ) o t Dvs n f i As n A

12 2 C f b ob db s a s re y a A a h odvl ) rc n i i l i b C oodpe u e ) h ri lx s s As n A

13 2 Whc i pec dd r gL ih s ire ui P n A D r ma t r ) ua te 14 2 If pe d rto ei n ay whc wi bifc e n s ra s e rp r o e l, ih l ne t d t l a S le ) pe n b J jn m ) eu u c T a s es c ln ) rn v re oo d D s e dn c ln ) e c n ig oo e ) as n d

15 2 A tpt i r ls wi rs l i D ci s eo n i t y o s l e ut n e n i f ua l z a Z n go rls ) o a lmeuo a b Z n fs ua a ) o a a i lt c c P rfl ua c l o t yod ) aaoi lr el f h ri c s d A rn l d l ) de a me ul a e ) as n b

16 2 F c o D cwo n h aig a tr e ud el n a Vtcd f in y ) i ei e c c 17 2 H w t rmb c t spa rl i t rmb s o ho o y e ly oe n ho o i s a S r fro nt ec oc s ) or og t h h ie y 18 2 A c mo t nrf xit c ,ih rf xa s n . a g t ? c o a i el n a t l t el b e t D ma e o o e g e a E e g r sp a n ) d n e we t h l . b O t n re ) p i ev c c O t ta t ) p i rc c d O t c is ) p i ha ma c
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e Pe e t l ra ) rt c a ae As n E

19 2 P r o p ra s se dann e o h g s at f ot l y t m riig s p a u a A y o sv ) zg u . b H miz g u ) e ay o s c Rtg sr ) i a ti c d Ltg sr ) f a ti c As n D h t :/ o k .o gec m.kb o s tp /b o sg o l.o p / o k ? i= 1 4 r7 Q & g P 1 & q p ra+ y t m+ riig e o h g d 2 e wA L h C p = A 8 d = ot ls se dann + s p a u s i h= n e= 7 T L D jn ei D A s = & ib o _e ut c +s le & iN w0 N E Ko Q f G B & a X o= o k rs l t & t & = e ut rs u 1 v d 0 C Q A wA # = n p g & & = as rs l e n m= & e = C k 6 E A v o e a e q f fl & e

10 3 Bo c o umo ays g n rn h p l n r e me t a A a o c l n fn t n l ntifu g ) n t mia a d u c i a u i o ln o 11 3 T mps tp iti i e e on s n a A th p t aa s ) n y o h lmu b P s h p t aa s ) o t y o h lmu 12 3 A t o isaepo u e b n i de r rd c d y b a Pa mac l ) ls el s 13 3 Vrln eo b c ei i a s ca e wi i e c f a t r s s o it d t u a h a Ds ) oe b D rt no e p s r ) ua i f x o ue o c T x po u t n ) o i rd c i n o d B d rs t n e ) o y ei e c s e ) as n c

14 3 F r bo dd n r a i n trq i d( h ie n twel o a lo o o wh t s o e ur c oc s o e l rme r.c u l d a k t a whc fc o s o l n tbt eei e mbda t ay y s d h t ih a t r h ud o hr n aG N R LH A T Y D N R E EA E LH O O ) a Ae ) g b Sx ) e c S se cds a e ) y t mi i s e 15 3 Whc o ei n tae i eim t mo ih n s o pt l h u u r a A e o acn ma ) d n c rio b S c ) q a c L o ac ma ) i s ro p As n C
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16 3 Whc rc p o rn ov i a i po u t n ih e e t r iv ld n cd rd c i o a H ) 1 b H ) 2 c A e yc oie ) c t lh l n d ) e ) as n b

17 3 Whc i pe e ti s w wa es e ih s rs n n l o v l p e a Dp ) oa b A e yc oie ) c t lh l n c S rt nn ) eo o i d N rpn p r e ) oe ie hi n e ) as n ca dd n

18 3 H miai sd et d ma et e b lmu u o a g o s a S b h lmi N ) u t aa c . 19 3 A c i h vn d s n awh nln d wn hl a ig y p e d e yg o a R to t ra g i r ) e rsen l ot e 10 4 Bs bf r f oy e t uf o b d e a Po en ) rt i b H ) b c Ho ) c3 d P o p ae ) h sh t As n C

11 4 Po enu i a ini c e db rt i ti t l o s hk y z a U iayN 2 ) r r O n b Bo dN 2 ) lo O As n A

12 4 A p h sf i ls , o hsuiei c n e ta e . t d et t a l d o s n w i r s o c n rt d I u o u n s a Ad seo e ) lo t rn b Ah ) d c At ) ch d C ri l ) ot o s As n B

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13 4 P 74p 26 p o 3 h o 1 h . o 5 c2 3 c3 9 a Me a oi a io i ) t b l cd s c s b Me a oi ak ls ) tb l l o i c a s c C mp n a e rs ak ls ) o e s td e p l o i a s d R s ak ls ) ep l oi a s 14 4 Wh th p e so mo n ana l t a in a a p n n u t i ci i t ? miz o a V n i t nic ) e ta i n l o 15 4 S p idg o i ma eil a e f m y hl in s s tr tk n r a o a Bo d ) lo b U ie ) r n c S me ) e n d G nt l oe ( s n ) e i s rs l i ) a eo e S la ) ai v As n D

16 4 B s idc t r f eu i nsoe e t n ia o o s rm r o t rs a S rm i n ) eu r o b S rm frt ) eu er i in c H mo iei ) e s r d n d TB ) IC As n B

17 4 Wh moeo y e g e t av oi ta e t a a b s ? y r x g n o s o le la p x h n t a e a Icc mpin e )n o l c a b Icbo df w ) n lo l o c I vq )n \ d Icp l n r pe s r ) n umo ay rs ue As n A

18 4 U iayic n ie c wi o ef w a de c s iev iig d ma e r r n o t n e t v ro n x e s n n h l v odn , a g t ( sn rme r wel o q t e mbd l ) a S,, ) 2 34 b S, ) 23 c L , ,1 ) 2 4s 19 4 H p s e isi d et d fc i y o p da s u o ee t n a U o e i l u ece ) rg nt t b rl a b U o e i lod ) rg nt fl a c Ua h s ) rc u As n B

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10 5 C p ai v i e h l en c a B gn i a a o c l n f b x ) e is n n t mia s uf o b L slt T rda a ) i a . o a il . e c L t T bc p ) a . o ie s d E d i ai ) n s n xl l a As n C

11 5 U p r ato a a c n ls pe pr f nlaai a L e b srt ids e i ) i d y ta ie q p n f b D an db s pig ia n d s ) rie y u n un l o e c D an db if e t l en ) rie y n rc a v i d S n iv t t u h ) e s ie o o c t e S n iv t p i ) e s ie o an t 12 5 N r le a h atrt oma ft l e r a e a 4 . 0 ) 0 6 b 6 . 0 ) 0 10 c 10 10 ) 0 . 2 d 10 10 ) 2 . 6 e 10 20 ) 6 . 0 As n D

13 5 O eq wa a o tC Pa o ti ico d ci s e icc n io n s s b u V .b u t n r e n p cf o dt n s i i 14 5 Ici s se cfl gpe s r c u e n n y t mi in re ue a s s l i a Icv n u rt r ) n e o s e un 15 5 B t - lc esd n tc u e e a bo k r o o a s a Icrnn )n ei b V s c n tit n ) a o o sr i co c Bo c idlt n ) rn ho i i ao d ) e ) as n a 16 5 L o an i c ie d a IcP it ra ) n R n ev l b D cA ) e P c D ca t ma ii ) e uo t t cy As n A

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17 5 A da e i p wi B 2 mmoe l o e en c mpia ini 1 t ib t t t S 0 c h l\ , b s ,o o l t , s s c o t vs t ad c Wh ts odb t ete t n ? it o i o . a h l e h ra me t a Is l ) n ui n b Is l + s lh n lra ) n ui n up o yue c S lh n lra ) up o yue d Bg a ie ) iu nd s e Bg a ie + up o yue ) iu nd s s lh n lra As n D

18 5 P n uo sk e jr, a s e d lu n e ek c u e a C rb l re in ) ee el ls a o b U p r t r e rn ) p e mo o n uo c L we mo o n uo ) o r t r e rn d S,, ) 2 34 As n A

19 5 I whc p rs et ers i t r s mp o pe o n t ? n ih aa i h e pr oy y t ms rd mia e t a a Acr ) s ai s b C se ec s ) y t c ro i s c ) d ) e ) 10 6 Da n s o H if n a me igt ig o i f . l z e nn is s nu i a C f ut r ) s cl e u b Bo dc l r ) lo ut e u c Iclmp o y ei c f )n y hct n s d ) e ) a n a

11 6 A t o yt T b c ei i ( n rme e e a tc oc sb tt e n i d o B a t r s d t e mb r x c h ie u h y b a dda krg riga t o ya an tT ) i s e adn n i d g is B b a C lb u d ) el o n b Me rn b u d ) mba e o n c i pa ma ) n ls d I s la ) n ai v e ) 12 6 I whc p a eo c ldvdo t ec rmo o saearn e i n ih h s s el iiin h ho s me r r g d n a c rma is ho t d a Po h s ) rp a e b Me a h s ) tp a e c A ahs ) n p ae
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d T lp a e ) eo h s 13 6 A r l o ta t nc rs o d t ti c n rc i oe p n s o a o a C wa e ) v b Pwa e ) v c Qs ) r

14 6 D ra ro ss p l whc mu s ls os lo t u py ih s ce ? a It ra it ro t l ) n en ln ec sa b E t ra it ro t l ) xen t n ec sa c In r s it ro t l ) n emo t n ec sa d S meb c mu s l ) o a k s ce 15 6 It ra s ema i fs i i d r e f m n en l p r t a ca s ei d r c v o a E t ra o l u ) xen l bi e q b It ra o l u ) n en l bi e q c T a s e ai fs i ) rn v s l a ca s d T a s es sa d miu ) rn v ru b o n s As n C 16 6 Ip t t c rb l m n u s o ee el u a Fo v siua s se ) rm e t lr y t m b 17 6 R s ligp we o ln e ovn o r fe s a T a e a lst s eco eyrlt ds be c s p rt ) h t n be o e ls l ea e u jt s e ea l y 18 6 P rs mp t e i si lt nc u e aa y a h t t a i a s s c mu o a Cl r mu cec n rc in ) i y s l o ta t i a o 19 6 R A 15 bo dls , k i c l a dc l d et T , .L lo o s s i s am n od u o n a V s c n tit n ) a o o sr i co b V s dlt n ) ao i i ao 10 7 Mo tc mmo ma i sa ino s p i p s o n nf t t e o f et t c a T c y ada ) a h c ri b H p t n in ) y oe s o c IcG R )n F As n B

11 7 Pe l n n c n io rmai a t o dt n g i a B s l el e u ) a a c ln v s b D s lsi n v ss n rme ) y pa t e u y do c


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As n B

12 7 T mo iv liglmp v s es u rn ovn y h e s l a A go ac ma ) n is ro b C si h go ) y t y rma c As n B

13 7 A fmaeh vn v r hg lv l o poa t , ufr gf m e l a ig ey ih e es f rlc i s f i r n en o h mo y u h min pa I d et o n mo s e a o i. t u o s a C mpe s no o t n re ) o rs i f p i ev o c b D ma et o t ta t ) a g o p i rc c c D ma et o t rda in ) a g o p i a it c o d C mpe s no u p r ato o t c is ) o rs i f p e p r f p i ha ma o c e C mpe s no o uo t r . ) o rs i f c lmo o n o As n D

14 7 Wh tuf di pi r h p rlo t rns a i n r y y ead seo i n ma m a Ick )n b D ck ) e c H p t n in ) y oe s o d Icrnn )n ei e Ica go e s 2 ) n n it n i n As n B

15 7 Whc t k p r i s n h s o ad seo e ih a e at n y t e i f lo t rn s a A go e s 1 ) n it n i n b A go e s 2 ) n it n i n c C ri l ) ot o s d ) e ) 16 7 Ickc u e n a ss a Icad seo e ) n lo t rn b IcA H )n D c D cad seo e ) e lo t rn d D cA H ) e D 17 7 H D O H O T IZD C U E Y R C L R HA IE A S S A Ick )n B Icc )n a C Icmg )n D Icn )n a
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18 7 H do sft l o c r t R emo h r n R + eft e. a y rp e ai c us o H v s t e a d H v a h r Wh t t p o h p re s ii ra t no c r d y e f y es n ivt e c i c ur ? t y o e a 1 ) b 2 ) c 3 ) d 4 ) e 5 ) 19 7 Bo ds p l o e ee c p c n sa drd lo u py f y x e t o e n o s a C n rl reyo rt a ) e ta at r f e i n 10 8 T e g s n r o kn fl a da k wh tuwi f dmo t h y v e ai f l eet n s d a o i r li ln s c mmo o n a G n c ma t ) y e o si a 11 8 Ad seo ec u e lo t rn a s s a H p rae a ) y ek lmi b H p n te a ) y o a rmi c H p rac mi ) y ec le a d H p k lmi ) y o ae a e A io i ) cd s s

Wi igal h p r1c n ia e G D U K s n lt e at a dd t s U L C h

D . U T RL R B T E FY F MC L H R . J ,A O E
P se b DrS l nA ma 2 c mme t o td y ut a h d 1 o ns R at n: e ci s o

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MEDICINE JUNE 2009


1 H ins ce ini t ek n yc u e . + o e rt o n h i e a ss d bc ro a era s b in iab n t e b o t o bc ro a ee ce in iab n t x rt o 2 whc i pv tjit . ih s io on t mp rma dc lr e oo n iua a ln oo c i l t t c pt a a A ln oa il t t x a a 3 D u u e fr u t i s k e s . rg s d o mo n an i n s c a e a oa d c t z lmie s o oa n c p lmie 4C re l p ct sr a s db . on a o a ie c u e y i e h mb t l ta uo
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5 C po r c u e . a t pi a s s l h p k lmi y o ae a h p r ae a y e k lmi 6 P = . H O = 4 P O = 4 da n s i . h 75 C 3 8 C 2 5 ig o i s s me a oi ak ls tb l l o i c a s rs i t r ak ls e pr oy l o i a a s p ril c mp n a e me a oi ak ls at l o e s t d t b l l o i ay c a s p ril c mp n a e rs i t r ak ls at l o e s t d e pr oy l o i ay a a s 7 Whc i P 5 id c r . ih s 4 0 n u e i na i s iz o d p e o abt n h n b ri e o c me iie o t n d k tc n z l e o o a oe 8 Whc c u e d ce s dg sr mo i y . ih a s s e ra e a ti c ti l t Ma n s m S lh t g ei u up a e Au nu H do ie lmiim y rx d

9 S rm g sr lv l aeice e b poo g du eo . eu a ti e es r n rs d y rln e s f n a t cd n a is PI P H bo k r 2 lc es a t h l egc n i oi ris c n b t bo k r e a lc es 1 .s p a og sr jn t nc mp t n ei man an db 0E o h g a ti u c i o e e c s it ie y c o ligs pn yn u ie ice e itaa d mia pe s r n rs d n r b o n l rs ue da ha m p rls ip rg aay i s u eo me o lpa de s f t co rma i u eo mop ie s f rhn 1 . a in h sa u ebo dls t eme h ns tig rd 1 P t t a c t lo o s h e c a i r ee m g i da eyi me it l s b r rc p o me h ns ao e e t r c a i m rnna go e s s se e i n it n i y t m n 1 . ao i b d rc p osrs o dt 2 C rt o y e e t r e p n o d at r l O rei P 2 a at riP o real c 2 1 . rp l y ua ia t b 3 po yt o rcl c s y h d ce s gidn u t k e ra i o ie p a e n d ce s gT H lv l e ra i n S e es d ce s gt yogo ui lv l e ra i h r lb l e es n n 1 . ihi ice s di fs rs o c 4 whc s n ra e n i t e p n e r IG g IM g IA g 1 . ihco s spa e t 5 whc rs e lc n a IG g IM g
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IA g IE g 1 . ihi s ce e i be s mi 6 whc s e rt d n ra t l k IG g IA g IM g 1 . ihh sme r fn t n 7 whc a moy u c i o IG g IM g IA g IE g 1 . ihdu c u e a n r l iee t t nb t e rda d 8 whc rg a s s b oma df rn i i e we n e n f ao ge nc lus re oo r e h mb t l ta uo a o ao e mid rn p rz a d ya i mie n 1 . o b s v ra c mmu ia ins i o es o l h v 9 fr e t eb l o nc t o kl n h ud a l g o v c b lr o d a a uay c mp t n ei pe e t t n o e e c n rs n a i o f e ts e c l n peh u 2 . ihi n tc u e b p rs mp t ei si lt n 0 whc s o a s d y aa y a h l t a i c mu o ice s dG T mo i y n ra e I ti l t mit rt n c ua i o mis oi s s a ig we t n 2 . jc lt ni c u e b 1 ea ua i s a s d y o s mp t e i y ah t c p rs p t e i aa y a h t c bt oh 2 . lh rc p ossi lt nc u e 2 Ap a e e t r t a i a s s mu o p playdlt n ui r i i a ao ice s dh atrt n ra e e r a e ice s dc n rc i y n ra e o ta ti l t 2 . rc ueo s ria n c o h meu , a ie c n ri am 3 f t r f ugc l e k f u rs p t t a t as r a n e a ds n oyls o lt rl ufc o am. a g t n e s r o s n a ea s r e f r d ma e o a a i r n re xl y ev l a mu c l c t n o sn re s uo u a e u ev 2 . c ino gu e sme isnmii si 4 at o f lt u du nmu s a d c innme ilo a in but o da rt t o a d c innlt rlo a in but o a ea rt t o a d c innme ilo a in dut o da rt t o a d c innlt rlo a in dut o a ea rt t o 2 . h mu i fr db 5 t y s s ome y 3dp aa g a p u h r h rn e l o c 4 hp aa g a p u h t h rn e l o c 2 . rmo r t ec u e d ce e poa t nlv l b a t go 6 bo ci i a s s e rs d rlc i e es y c i n pn o n d p mierc p os o a n e e tr c oiegcrc p os h l ri e e t r n
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2 . a in se gs o ice s gP it rasa dt e ami e 7 p t t c h ws n ra i R n ev l n h n e n s d s ba et fs d ge bo k i t e re lc r s u art mi i s r h a n y Mo i t p 1bo k bt y e z lc Mo i t p 2bo k bt y e z lc 3dd ge bo k r e re lc 2 . io i i du o c oc i 8 Dg x s rg f h ie n n A r llte ti f t r a u A r l irlt n ti Fbi i a l o a V n r ua T c y ada e ti lr a h c ri c Ba y ada rd c ri 2 . a in at rs h mi a t c h sv n r ua t c y ada du 9 p t t fe i e c ta k a e ti lr a h c ri. rg e c c t a mu tbu e i ht s sd s l o an i c ie d a o ao e mid rn v rp mi ea a l 3 . p xb a i 0 a e e ts 4 hlf it ro t l p c mi ca iua l e t et n ec sa s a e d lvc lri n 8 m t t elf o mil ei 5 hit ro t l p c c o h et f di n t n ec sa s a e n 3 . o n p t n h sbus so t eb d a dn o h r inf a t 1 y u g a i t a ri e e n h o y n o t e s ic n g i hsoyne a n t nu rmak be h h s i r t x mia i ne ra l. e a o iip t i t rmb c t p ncp rua do a hc ho o y o e i up r a lsi a e a pa t n mi c H mo hl e pi i a 3. e pi i 2 H mo hl s i a X l k drc s ie i e e es n v A t s ma d mia t uo o l o n n A t s ma rc s ie u o o le e s v 3 . ihiv sia int b d n i p t n wi h mo hl 3 whc n e t t g o o e o e n ai t t e p i e h i a P T AT PT be dn t le ig i me c mpe ebo dc u t o lt lo o n 3 . a in h sh mo t s a dgo rln p r i da n s i 4 p t t a e p y i n lmeuo e his ig o i s e s t. s g o p sues n rme o d a t r y do we e esga uo t s g n r rn lma o i s 3 . fliau c u e 5 P acp rm a s s ba kwa e fv r lc tr e e 3. pr rgn at b 6 C ef i e s c s y en po u ielct ia e rd cn e i n s h d pe igA P e lt n T c u igh p x as n y oi a 3 . o o o c si e syie t idi e u a es e i nb 7 G n c c u n a i d n ie n x d t p cme y l f ga sann rm t iig Z N sann t iig cl r ut e u 3 . ihi n to c g nc 8 whc s o n o e i
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H pBvrs e i u H pD vrs e i u H re Smpe vrs ep s i lx i u EV B 3 . d l men e l reyp s e t ru h 9 Mide ig a at r a s s ho g frma s io u oa n pn s m frma lc rm oa n a eu frma rt n u oa n o u d m frma o ae oa n v l 4 . a g t mideme ig a at r c u e h ma o 0 d ma e o d l nn e l rey a s s e t ma fr t nb t e oma i e we n o d rma e nc lai ua t r av r a d rma e naa h odma e ua t r rc n i tr aa h odma e npa t r rc n i t r ima e 5 . ihi pe e ti c v ru s u 0 whc s rs n n a en s i s n a d c n n re b u e t ev 5 . ihca il ev sr aa y a h t 1 whc rna n re p rs mp t e i c I , I I, I VI X X I , 5 . a in sr h e eh smo e u wadnh shsn c tt dt 2 pt t i t y a e g vd p r a i e k ie o l lf t a oddpo i. a g t et o v i ilpa d ma e o s p r r biu u ei o l e o q ifr u o l u nei r bi e o q 5 . a in h sh mo y u h min pa ls ni a 3 p t t a o n mo s e a o i.e i s t e o o t n re p i ev c o t ta t p i rc c rt a ei n o t c is p i ha ma c 5 . em c l r eie f m 4 g r el d r d r s v o e td r c o em eddr n o em me o em sd r 5 . oeg b d i ta h ag e i whc bo c u 5 frin o y n rc e o s n ih rn h s rh upr i t pe g r h mide i t dl g r h ifr r i t nei g o lf ifr r et nei o 5 . ihlb h so l 2bo h p l n r s g n s 6 whc o e a ny rc o umo ay e me t r h mide i t dl g rh upr i t pe g lf u p r et p e lf mide et d l 5 . uigi v lme r c n rc in 7 d r s ou ti o ta t n o c o a r l rs ued ce s s ti pe s r e ra e a s mi n r av sr p n e l a v le o e u c rn r bo df w d ce e oo ay lo l o e rs s fs h ats u di po u e i t e r o n s rd c d r s c n h ats u di po u e e o d e r o n s rd c d 5 . ihi t ikfa n 8 whc s hc i me t l
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at ci n my s oi n 5 . s co r i pe e tb t e 2 9 a a rmee s rs n e we n Zle i s n Hb n ad Ab n ad 6 .nmu cec l c lim i rla e f m 0i s l el acu s ee s d r s o e d pa mi rt uu n o ls c e i lm c s ropa mi rt uu ac ls c e i lm c 6 .nk n ys lc t eb s od r f reis 1 i i e ee t h e t re o at r d e rn l ac a e it r b r it r b lr efrn at r l e a > ru t >n el a>n el ua> f e t rei e o o e o rn lit r b lr it r b r ac a e efrn at r l e a>n el ua>n el a> ru t > f e t rei e o o e o rn lit r b r it r b lr ac a e afrn at r l e a>n el a>n el ua> ru t > f e t rei e o o e o rn lac a e it r b lr it r b r afrn at r l e a> ru t >n el ua>n el a> f e t rei e o o e o 6 .fe n r l aieifs n 2at r oma s l nu i n o bo dv lmeice s s lo ou n ra e N e ce ind ce s s a x rt o e ra e o moai ice s s s lly n ra e t rnns ce inice s s e i e rt o n ra e 6 . fe rn l rn pa twhc main n yi c mmo ? ? 3 at r e a ta s ln ih l a c s o g n ?

6 b bn k s ni p s iei 4 a is i i s o iv n g t p rmia ls n ya d le i o c rb l re in ee el ls a o 6 . e ta s iot aa cta te d a 5 v n rl pn h lmi rc n s t lmb r e in u a rgo mi t oa i d h rcc e dt oa i n h rcc 6. o 6 c mmo e ts eo lmb r u c uei n s i fu a p n t r s t L -5 4L L -3 2L S -2 1S 6 . ihi n tp n t rdd r glmb r u c ue 7 whc s o u c ue ui u a p n t r n d rma e ua t r la nu f v m i me t m l u g a ln i dn l pn lia n o gt ia s ia l me t u g 6 . fe R ic mp t bl wh ti gv nt t emo h r ope e t 8 at r h n o a a iy a s ie o h t t e t rv n in x t t et i me a t D a t o is n i n i de b 6 . a in h sbo dgo pA whc c n o bgv nt hm 9 p t t a lo ru + e ih a n t ie o i O + O A AB 7 . a ro i 0 h mat ma s b ng t mo e in u r main tt mo l a u r g
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7 . d l r ry r rs n i 1 me ul y a s pe e t s a c re ot x me ul dl a 7 .nA ds n ds a ewh td e n to c r 2 i di s i s o e a os o cu h p r ae a y e k lmi h p k lmi y o ae a 7 . ihi e s n il mioa i 3 whc s s e t a n cd a p e y l lnn h n a aa ie

7 . ihi t rt g nc 4 whc s ea o e i ac h l lo o 7 . ihi a s ca e wi c n e 5 whc s s o it d t a c r h me h l lo o t y ac h l po y ac h l rp l lo o 7 . L -D 4i a s ca e wi 6 H A R s s o it d t h re ma odat r i h u t i rhis t SE L s lrd r ceo ema 7 . ihi pe e ti S E 7 whc s rs n n L a t D A a t o is n i N n i de b a t jn sa t o is n io e n i de b a t s t a t o is n i mi n i de h b

7 . ihc u e d s h ga 8 whc a s s y p a i a k ls gs o d li n yo i p n yis n t s lrd r ceo ema d r t my s i ema o o is t 7 .rnd f ic a e ai 9i o ei n y n mi s c h p c rmi mirc t y o ho c co y i c 8 . a in sh dg src o , fe 3mo t ss epe e t wi 0 p t t a a te t my at r e n h h rs n s t h i nd f iin ya e a r o ei ce c n mi c p riiu a e a enco s n mi h moy i a e a e lt n mi c 8 . rg a tld h sMC o 7 f a dH 81g d, h i 1 pe n n a y a V f 0 l n b . / ls e s . s f r gf m uf i r en o i nd f in ya e a r o ei e c n mi c me ao lsi a e a g lba t n mi c 8 . ihi tiu ayo p ra v i 2 whc s r t r f ot l en b s p r r e tl u ei rc a o ifr r e t l nei rc a o

8 . a ac e i f n o t ero o lf ln 3 wh t rh s n r t f h o t fet u g o A c o a ra rh f ot Ayu vi z g s en 8 . ee t eb t bo k r d n tc u e 4 s lc i e a lc es o o a s v bo c os a m rn h p s


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8 . o wi t eefc o wafr i 5 h w l h f t f r i mme it l rv re l e an da et e es d y vt mi K i n a FP F po a n s lh t rt mie up a e 8 . C s p ls 6 R A u pi e r h ar m o l i t ti g u ny r h a r m nr h v n r l i t ti g u i t e ti e g c 8 . u iav gn l i d r e f m 7 t nc a iai s ei d r s v o ta s es l mu ce rn v rai s sl ta s es l fs i rn v rai a ca s p ro e m ei n u t it r biu mu ce ne o l e s l q 8 . un r y do h sk ro y e 8 t re s n rme a ay t p 4 X 5 O 4 X 5 X 4 Xy 5 X 4 XX 5 X

8 . ihmu ce dve s b n iua ga di t s p r iil 9 whc s ls iid u ma dc lr ln n o u e f a n c de pr e p at o h od mo y i myo y i lh od a t r r el o dg sr n ei b l f ia ti o y c 9 . a in h sdfc l co i r h e ea ddsot dfca 0 p t t a iiut ls i t y n i re a il e f y n g t a p aa c . eh sd ma et p e rn e h a a g o r h fs il ev i t a ca n re g lf fs il ev et a ca n re r h tie n l ev i t r mia n re g g lf tie n l ev et r mia n re g 9 . ihd e n tc u et e a mu cewa t g 1 whc o s o a s h n r s l si n c re t n e s n rme ap l u n l y do C n uis 8 e ri t c ria r evc li b s ae emu ces a m c ln sl p s c ria s o d ls evc l p n yo i s 9 . pe n tld f m hl ae pe e t t . e a s a a t r 2 a rg a a y r o i ra rs n s o ft l c n t em l y s o n a o l. iho t efl wigc nsi bpe e ti t e h ws o n may whc f h ol n a tl rs n n h o l n wb r e on AD S VD S PA D p l n r se o i umo ay t n s s 9 . a i e dpo u to gu o eme a oi i t epe e c o 3 wh t s n rd c f lc s t b lm n h rs n e f s oy e xg n lc i a i a t cd c 1moe ueo p rv t lc l f yu a e 2moe ueo p rv t lc l f yu a e

9 . e t c e n c ue 4 b e l h wig a s s e s b c o sf rs u mu u u i o i b s
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lu o lk e k pa i a k rt s ea o i s 9 . ihi ls me it rns p i s o k 5 whc s a t da o i e t h c c IL1 I-6 L 9 . n ie a t o yra t n r s rd c di 6 a t n n i d e c i s mo t e u e n g b o L e fi r i r al e v u L w n u rp i o e to hl s 9 . lv lnca i 7 Ca ua i cd d sry Blc a s s e to s a t ma e c u e d ce s dp ncl e ce in a s s e ra e e iin x rt l i o 9 . o eo G n a cni rd c di ed r d et 8 D s f e t mii s e u e n lel u o y rd c drn lu c in e u e e a fn t o

9 . F c nbb s e t t db 9GR a e t si e y ma ce t iece rn e ra i n laa c n s rm ue lv l eu ra e es s rm ce t ielv l eu ra i n e es n 1 0 b s t s fr ib t n p rp t yi 0 . e t e t o da e i e ho a h s c s rm ue lv l eu ra e es s rm ce t ielv l eu ra i n e es n uiayab mi r r lu n n 1 1 whc po enman an rdc ls a e 0 . ih rt i it is e el h p it gi ne r n s ce i e rt n s e ti p cr n 1 2 C a o i i d et 0. yns s u o s ice s dd o yh mo lbni bo d n ra e e x e go i n lo d ce e P 2i bo d e rs d O n lo . 1 3whc o t efl wigc u e n tirs 0 ih f h ol n a s s a r e i o u s srt hrc p osi a r te c e e t r n ti a c rt b de ao i o is d 1 4 p t n h sg lso e , ihe z mec udbmo tley 0 . a i t a al t n s whc n y e ol s il k ri d as e Ak l eP o p a a e l i h s h ts an LH D AT L 1 5 df s nt ru hav oisdrc l po ot nt 0 . iu i ho g le li i t rp ri o f o e y o t ik e so me rn hc n s f mba e t t l rs s c in l ra o a co s e t a ae o 1 6 ta s o o ma eil b c re po en i e a l o 0 . rn p t f t r s y ar r rt is s x mpe f a i s l df s n i e iu i mp f o fcla e df s n a i t d iu i i t f o a t eta s ot c i rn p r v 1 7 whc d e n th slmp odfl ls 0 . ih o s o a y h i ol e i c se n pe ty s h mu lmp n d s y hoe
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p y r ac e a e p th s 1 8 i c n e t ec ricfi r t eei 0 .n o g si ada al e h r s v u ice e pe s r i v n u s se n rs d rs ue n e o s y t m 1 9 v n r ua c n rc inc u e whc wa ei J P 0 . e ti lr o ta t c o a s s ih v n V a c v 1 0 s efr e e e t n 1 . i o v n s ci t o ge ts p a o s ra e h n u s ots p a o s hr ehnu 1 1 whc i n tp r o l i s se 1 . ih s o at fi c y t m mb v r so c rb l m emi f ee el u a g aa my d l a t r r h lmu n ei t aa s o hp oc mp s ip a u 1 2 r h g sr at r i ba c o 1 . i t a ti rey s rn h f g c g sr d a e a a to u d n l r h g sr e ili i t a to ppoc g 1 3 t iz edue is 1 . ha i irt d c d n trq i p t s im s p lme s o o e ur o a s e u u pe t 1 4 b h vo r ce c si ba c o s in ewhc d aswi 1 . e a iu s in e s rn h f ce c ih e l t h b h vo r f es n i df rn s ca , s c oo ia c n io s e a iu o p ro s n iee t o il p y h lgc l o dt n f i 1 5 p t ith sls o po r c p ino r h nls o p i n 1 . a en a o s f rpi e t o o n i t o s f an g t mp rt r o lf,e ini e ea ue n et ls o s r h h mi c ino s ia c r i t e s t g e o f pn l od lf h mi c ino s ia c r et e s t e o f pn l od 1 6 c rba c re i c n en dwi 1 . ee rl ot x s o c re t h v ln aymo e n so b d ou t r v me t f o y 1 7 D Ti c u e b 1 . V s a ss y sa i o bo d t s f lo s 1 8 lci l u to e si 1 .a r ma d c p n n ifr r a u nei me t s o mideme t s dl au 1 9 i a t ma 1 .n sh F V / E ls t a 6 % E 1F V e s h n 5 F C i rd c d V s eue 1 06y asodgrh sme igt . s c mmo og nsi 2 er l i a l nn is mo t o i n ra i s srp o o s sp e mo i te t c s u n o ne N i rame igt i es r ei nn ids i H mo hlsIf e z e e p i nl n a u u EC l oi 1 1 e u a eh s 2 . xd t a po enmoet a 3 / l rt i r h n gd s e icga i i ls t a 10 0 p cf rvt s e s h n .1 i y 1 2 ay u gb yh sdsot dn s a dc ria 2 . o n o a i re o e n evc l t
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lmp a e o a h .y hn d bo s s o n nc s a ig y h d n p t y lmp o e ip y h ws o a e t n ga uo a ds u u A Bi p s ie da n s i rn lma n p t m F s o iv , ig o i s t s T B lpo y e rs s rod s ac io i s s p is y hl u 1 3 L mb ac ani pe e ti 2 . a d h i s rs n n a lio i myod s s 1 4 whc d e n tfl w oofc lo t 2 . ih o s o ol o r e a ru e t nas l m e i oi u tih r tih r r ui r ui c s c a e to isv r c lr n rbu emiuai s A k lsrmad o e ae n yo to udnl 1 5 c oa goc rio i c u e b 2 . h ln i acn ma s a s d y C Sn n i ie s s p rg nmu wa ema i aa o i s t r n te i s lm a na oi u

1 6 y u gb yh sblt r p rt e lre n . ig o i 2 . o n o a i el ao i nag me t da n s a a d s b c eil ao is a t r p rt i a t mu s mp ifc iu mo o u ls s ne t s n n co u o 1 7a o tMy o a t r m T , ihi fl 2 .b u c b c ei u B whc s as e c u e ds a eo l i h ma s a s s i s ny n u n e fv r a rbcc n io s a os eo i o dt n i 1 8 whc i fl a o ts oe 2 . ih s as b u p rs e po u e u d r u r n r hc n io s rd c d n e n ti t i o dt n e c i BA t rcspo u ss oe n ha i rd c p rs C t t n po u ss oe e a i rd e p rs t e r i du d r 2 d ge fr 5mi i a t ca e h y kl n e 1 1 e re o 1 l e n n u o lv 1 9 ft l ri d v lp n i c u e b 2 . e a ban e eo me t s a s d y G o hh r n rwt omo e t yodh r n h ri omo e 1 0 g sr A i ice s smo tat r a ig 3 . a ti cd n ra e c s fe t k n c ro y rt ab h da e po en rt i ft as 1 1 whc h r n efc sc ro y rt , rt i a dft 3 . ih omo e f t ab h da e po en n a e me a oi t b lm s is l n ui n G o hH r n rwt omo e 1 2 whc i n ta e i eil u r 3 . ih s o n pt l t mo h a s c lC q el A a e oc rio d n acn ma s ro ac ma 1 3 B n ejn spo enaepo u e i 3 . e c o e rt i r rd c d n mut l my lma lpa eo i 1 4 whc h r n efc sb t n r pn p r ens rt nn 3 . ih omo e f t o h o e ie hi e n eo o i
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me a oi t b lm s Mo oa n o ia e n mie x s d 1 5 p t n pe e t wi e i a i a dbus go b d . e t 3 . a i t rs n s t ps x n rin n o y b s e h t s i iv ria ini n et t g o s c mpe ebo dc u t o lt lo o n P T At pt 1 6 A Ha t o 3 . D cs n Po i l u ue rx ma t b l Dsa T b l i l u ue t C l c igT b l ol t e n u ue 1 7 whc i mo ts w go n main n yo t yod 3 . ih s s l o rwig l a c f h ri g F l ua C ol lr A i c Me ulr dl y a P pl r ai y l a A a lsi n pa t c 1 8 C rb l re inc u e 3 . ee el ls a o a ss Aai tx a 1 9 p t n wi c rb l re in 3 . a i t t ee el ls e h a o c n o t u ho jc swi hsf g r i a n t o c be t t i i e t h n p 1 0 P H rman n r ln 4 . T e is oma i rn ln uf in y e a is fce c i o t o oo i se p rs s 1 1 N o a a R b l ifc ini s re e b me s r gwhc 4 . e n t l u el ne t a o s ce n d y a ui n ih at oy ni d ? b IM g IG g IM a dIG g n g

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P se b DrS l nA ma 5c mme t o td y ut a h d o ns R at n: e ci s o

Very Helpful (6)

Helpful (0) Not helpful (0)

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GYNAE OBS JUNE 2009


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3 -u c in la e o e d me r m c n i so 2 fn t a ly r f n o ti o u os t f s S rt m b s l ta u a a S rt m c mp c u n srt m s o go u ta u o a t m d ta u p n is m S rt m b s l dc mp c u ta u a a n o a t m 3 - le eo me to uo rc a s p u , 3 mad v lp n f r-e t l e t m , R co a f tl e t v g i ua s R c o t r ef t l e t u ei i ua n s I efrt a u mp r a e n s o R c o eie li ua e tp r a f tl n s 3 - tu t r ligb w lbu mau n miu 4 src ue yn / a im js d n s U e ha ga d rt rl ln B lo rt rl ln ub ue ha ga d Mio ue ha ga d n r rt rl ln 3 - c1o fl wigmu cen ta t c e t t n o o p r e l 5 w/ f ol n o s l o ta h d o e d n f ei a n bd oy Ic ic v ro u s ho a en s s E tue ha s hn t r x rt rl p ic e B lo p n is s ub s o go u T a s es p r e l s l rn v re ei a mu ce n 3 - mp od n d l n pe e ti 6 l h ie o ue t rs n n y Ty s h mu S le pe n L mp n d y hoe

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O o h rn rp ay x D oeu udnm 4 - o trlt no lf ue e 3 p s ea i fet rt r o R o o me e ty o t f s nr Ia v s e lc e s l i 4 - u e ltq a rn o ma yga ddanit 4 o t ra u da t f mr ln ri n o A tg a i r lmp n d n p xl y y h o e l a 4 - eo h h l ad 5 x rp t ami t VtA d f i e 4 - ni x a t 6a t oi n - d VtE i 4 - hs h vn 3ly r o mu ce 7 w/ t a ig a es f s ls F n u o so c u d s f t ma h Eo h g s sp a u 4 -a e oi 8 ft mb lm s 4 -e adn ma 9 rg rig mmayt s e w/ i N ta po r t r i u s h s o p rpi e s a P c mao, ea u a tl i d e rlt n e t jr s rt s n ,e n e p ea i s i o C nmo f eyo e rto mmays a e a v r l v r e rma e r pc P a oa g c u e b lmp a i o src in, . , . , . e ud rn e a s d y y h t b tu t . , . , . , c o .,.,. P c eigo s i d s b u d c a ifta in, . , . , . u kr n f k t u c t u t lnirt . , . , . , n l o .,.,.

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S e ti p cr n 7 - e a iua s in e .eiio 7 b h vo rl ce c s d f t n ni 7 - eb l o 8 v ra c mmu ia ins i nc t o kl l S e kf e t p a l nl u y E u a inn rs ac tann dct o d e e rh riig Pe e t t n rs n a i o G o v c b lr o d o a uay 7 - o afn t no b t bo k r 9 N t u c i f e a lc es o - ein to i v o o rpc - ec rn to i v ho o rpc .,.,, ,.,.. .,., .,.,.,. ,.,.,. .,.,., 8 -ap abo k r 0 lh lc es

8 - e tal a t gH N ie 1 c n rl c i y n Ts v Co iie lndn Me h lo a t yd p .,.,.,. ,.,.,. .,.,., 8 - h1d ce s t emu celn t 2 w/ e ra e h s l e gh G li e d nog n og t n o ra Mu ces ide s l pn l .,,,,,,, ,,,,,,,, ,,,,,,,, 8 - ee elre in 3 c rb l ls , a o Aai tx a Rgdt iii y Iia emu cemo e n nt t i sl v me t 8 - r- t r ot xl i 4 pe mo o c re i n e Fo t lo e rn a lb 8 - o c g a p r o s ia c r l a t elv l f hv re r 5 c c y e l at f pn l od i t h e e o w/ et ba e C 2 L 2 S 1 S 2 8 -ei tu p li n co s sf me t lts eo p li 6 l n re evs d rs e r i m d o a i f evs d S prc a at u e tl r Miderc a at d l e tl r If e tat n rc r It ra i c n en ll i a 8 - f a cao uo e i l ig p rm as c l da 7 i fs i f rg nt da h ha l al s n a o e P r e l mba e ei a me rn n 8 -e l p li as c l da 8 fmae evs l al s o e
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A dod n ri A t rp i n ho od Pa y eli lt p l d o Me a iel st l p i c 8 - tco igw/ mu cei c td r ge i t my 9 a rwnn h s l s u ui ps o n o B lo p n is ub s o go i s

9 - mb r u c ue 0 l a p n tr u L L 2 3 L L 3 4 L L 4 5 S S 1 2 9 - a t t n, , 1 L cai , , o ,, H r n s, omo e , whsi lt , t ae mu 9 - rlc i h r n 2 poa t omo e n S i lt db , . , . t a e y. , . , mu ,.,. 9 - rg a c i da n s db 3 pe n n y s ig o e y G n d to hnh r n o a o rp i omo e 9 - rg nt l ig ha is re o 4 uo e i da p rm n et d n a Ih ha t b rs y s c il u eo i t Ic il pn s ha s ie S bp bcac u u i rh Ic ila s s ha rmu 9 - hmu cedvs b n iua ga dit s p rca n d e 5 w/ s l i u ma db lr ln n o u ef il d e p i pr at Myo y i lh od A tb l o da a ti n el f ig sr y c 9 -o to lf ln 6 ro fet u g A y o sv i ac e a ro o lf ln . z g u en rh d t o t fet u g 9 -ea o e i 7 t rt g nc Ac h l lo o C f in af e e e 9 - acn g nc 8 c rio e i Me h l lo o t y ac h l B n iie ez n d 9 - a wi bo dg A s o l n gv n 9 p t t lo p h h ud t ie A + A _ O A B 1 0 . e adn k n y, hs q e c i c r c 0 - R g rig i e w/ e u n e s or t d e
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rn l r > ac a e it r b r it r b lr go rlr efrn e a at ru t >n el a>n el ua> lmeua> f e t o o e at r l rei e o rn lit r b lr it r b r ac a e efrn at r l> lmeua e a>n el ua>n el a> ru t > f e t rei e go rlr o o e o rn lgo rlr it r b r it r b lr ac a e afrn at r l e a> lmeua>n el a>n el ua> ru t > f e t rei e o o e o rn lac a e it r b lr go rlr it r b r afrn at r l e a> ru t >n el ua> lmeua>n el a> f e t rei e o o e o

1 1 i mu cec + rla ef 0n s l a 2 ee s r m s ro ls crt uu ac pa mi e i lm c T tb l -u ue S ro r ac mee 1 2 s ro r 0 - ac mee b w 2zl e / i n 1 3 p rs mp t e i n re r 0 - aa y a h t ev s c 3791 ,,,0 1 4 w/ i pe e ti d c vt o c v ro ss u 0 - c s rs n n e a i f a en u i s y n A dcn nr b u e t ev T o he r rc la O c lmo o c uo t r 1 5i h e p i 0 - a mo hl n i a P IC T N A T IC PT N Icbe dn t n le ig i me 1 6 g sa in l g e t t df , . , 0 - e t t a a e si e r . , . o ma m. , . A dcru ee c . . b i mfrn e, c , Bp r a da t r . , wk iai l ime e. , . s t ,. C o rmpln t , 8we k . rwn u e gh , , es 1 7 n rp + s rt nnd ga e b 0 - oe i eo o i e rd d y MA O 1 8 a ls ti se w/ u eu i s n iv t w/ h r n 0 - ta t r me t r c t rs s e s ie o c omo e t O yo i x t cn 1 9 t pe e th a ls 0 -o rv n e t o s S ieig hv r n V s c n tit n a o o sr i co 1 0 icK 1n Ad seo es c lo t rn e
P se b DrS l nA ma 4c mme t o td y ut a h d o ns R at n: e ci s o

Very Helpful (4)

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SURGERY June 2009


SURGERY JUNE 2009. Recalled By Safwan. T a k o . h ny u
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( )Me n c r c . C a s or t e 1 Ga do co u ti lc t di: . ln f lq e s o a e n a ig ia c n l .n un l a a 2 B lw i ac rio e : . eo s acn g n a me h l lo o . t y ac h l b po y ac h l . rp l lo o c b n iie( ) . ez n C d 3 Icd n ei . n ie c s : a n mb r f e c s si ap p lt n( ) . u e o n w ae n o ua i C o 4 F l wigi c r c a o tfmu: . ol n s or t b u e r o e a t eh a i i l eo me il o d l . h e d s n i f da c n ye n b t ea geb t e t en c a ds ati a ea e1 5d ge s . h n l e we n h e k n h f s v rg 2 e re . () C 5 S b lva at r p s e : . u ca in rey a s s a a o et e1 tr ( ) . bv h s i C b b b lw t e1 tr . eo h s i b 6 A d mia a gn i c u e d et : . b o n l n ia s a s d u o a S p r r s n ei at r ( ) . u ei me e t r rey C o c b ifr r s n ei at r .nei me e t r rey o c c c l ctu k . ei rn a d a d mia a ra . b o n l ot 7 L f S pae a v i dan it : . et u rrn l en ris n o a ifr r e ac v .nei v n a a o b lf rn l en( ) .et e a v i C c p rncv i . he i en d p ra v i . ot l en 8 S u mo sc lc rio o uiayba d rsc u e d et : . q a u el acn ma f r r ld e i a s d u o n a si oo () . hs s ma C t 9 T es e iswhc c u e c rio i uiayba d rs . h p ce ih a s s acn ma n r r ld e i n : a s i o o ma s n . hs s ma n o i t b s ht s mah ma o im ( ) . ci o o e t bu C 1 . x a iebe k o o gu o ed r ggy oy i g n rt s 0Oi t d v ra d wn f lc s ui lc ls e ea e : n s a 1p rv t . yu a e b 2p rv t ( ) . yu a e C c lc i a i .a t cd c 1 . eerdp i t s o le i va 1 R fr e an o h ud rs i:
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aC, . 12 bC, . 23 c C , , () . 345 C dC, . 56 1 . olwigi n tp la l o p r e t l x mia in 2 F l n s o ap be n e rc a e a n t : o o a Uee . rt r b Po t t . rsa e c S mia v s l . e n l e ie c d? .? e? .? 1 . pn l ode d a : 3 S ia c r n s t aS . 2 b L- () . 12 C cL .3 dL .5 1 . e rl h a hi c mp s do: 4 F moa s e t s o o e f a ta s es sa d mii fs i . rn v ru b o ns a ca b it ra o l u fs i .n en l bi e a ca q c i c sfs i ( ) .l u a ca C i a 1 . rc uea n c o f ua 5 Fa t r t e k f i l: b a ijr t c mmo p rn a n re( ) .nuy o o n eo e l ev C b s p rca p ro a n re . u ef il en e l ev i c d e p re l ev . e p en a n re d t il ev . i a n re b 1 . o t r r i lc me to k e i pe e t db : 6 P sei ds a e n f n e s rv n e y o p a A t r r rca el a n . n ei cu it i me t o g b P seir rca el a n ( ) . o t r cu it i me t C o g c Tba c l t rlia n . iil ol ea l me t a g d f ua c l t rlia n . i lr ol ea l me t b a g 1 . p t n h dc ti t ec n e o wr td r gas iie 7 A a i t a u n h e t r f i ui e s n ucd a t mp , eh sn a d c ino a d c ino f g r pu n te t h a o b u t o r dut o f i es ls o n a d c ino t et u , h ijr i t : but o f h h mb t e nuy s o a un r ev . la n re b me inn re . da ev c rda n re . a il ev 1 . y h t s p l o ma 8 L mp a i u py f mmayga d i c r ln s s : a p rsen ly hn d s . aa t ra lmp o e b a d mia lmp n d s . b o n ly h o e c a i r lmp n d s( ) . xl y y h o e C l a 1 . ee a ini b c u eo: 9 D fc t o s eas f a ma srf x . s el e b my n ei rf x . e t r el c e c S , , () . 234 C
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d P rs mp t e i rf x . aa y a h t el c e 2 . rln e c mai b c u eo ls no: 0 Poo g d o s e a s fe i f o a b t f n a lb sls n ( ) . o h r t lo e e i s C o o b o ef n a lb sls n . n r t lo e e i o o c p r q a u t l rals n . ei u d c a ae e i a o d mibanls n . d ri e i o 2 . e rga ea e i: 1 R to rd mn s a a c nb a oi e vapern a lb t my . a e b lh d i rf t lo o o s o b a p asi a g aals n a dpo rn ll h rp . p e r n my d l e i s n rpa oo t ea y o 2 . rjc inf eso c rba c re ta e t ru h 2 Poe t o i r f ee rl ot x rv l ho g : b a it ra c p ue( ) .n en l a s l C 2 . e adn n ua t b whc o ei c r c : 3 R g rig e rl u e ih n s or t e a Iv le i C S d v lp n ( ) . n ov d n N e eo me t C b Iv le i me ig sd v lp n . n ov d n nn e e eo me t 2 . r ril em c l aeo: 4 Pi da g r el r f mo s a e td r l r i . c o ema oi n g b me o ema ( ) . s d r lC c eddr l . n o ema 2 . rrc a s p u dvd st eco c it : 5 U oe t l e t m iie h la a n o a a u a duiayba d r . n s n r r ld e n b a oe t l a a a duo e i l iu ( ) . n rc a c n l n rg nt s s C a n 2 . D a dO y o i aerla e f m: 6 A H n x t cn r ee s d r o a s pa h i t . u rc as i ma c b pe p i . ro t c c aeoyohs . d n h p p yi s d n uo y o h s ( ) . e rh p p y i C s 2 . emia ino s b rc n i s a ei a : 7 T r nt o f u aa h od p c s t aL .2 b S () . 2 C cL .5 dS . 4 2 . olwigi tu a o tmideme ig a at r: 8 F l n s re b u o dl nn e l rey a P s e t ru hfrme s io u ( ) . a s s ho g oa n pn s m C 2 . s rf xi eii db : 9 Ma s el s l t e ce y a d c ria in . e ot t c o b c mpe es c ino s ia c r . o lt e t o f pn l od c ls n o c ria o t oa i s ia c r ( ) .e i s f evc l r h rcc pn l od C o 3 . da lmns u s se me it s 0 Me ile i s y t m c da e :
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a Pi . an b T mp rt r . e ea ue c Tc l g . ikn i d Fn t u h( ) . ie o c C 3 . a pe e t mu ce f m o e- te c ig 1 Wh t rv n s s ls r o v rsrt hn : a G li pn ls . og s ide b mu ces ide ( ) . s l pn ls C 3 . a ro i a 2 H mat ma s : a n o lsi c n io wi n main n p t n il . e pa t o dt n t o l a t o e t c i h g a b n n n o lsi c n io ( ) . o - e pa t o dt n C c i c c mpe eyb ng . o lt l e in d main n . l at g 3 . nc rnch moy i fl wigwi d p s i t s e : 3 I ho i e ls , ol n s o l e oi n i u s l t s a blu i ( ) . i bn C i r b bl edn . i ri i v c c nu a e blu i . o jg t d i bn i r d l ou cn .i fs i p e in .r o 3 . rmain n ls no mo t i 4 Pe l a t e i f u h s g o : a? .? b? .? 3 . o l a ino b t l u sc e n i 5 C mpi t c o f e e n t h wig s : a h e r a e? . a mor g ? h b uc rt n? . lea i ? o ? ? ? ? ? ? 3 . lf p lt i c u e d et : 6 Cet aa e s a s d u o a Vrl . i a b c ra z pn . ab ma e ie c mut a t r l C . lfc oi ( ) i a d a t plp is . ni i t e e c 3 . H u es re ni o ea igo p seir r n l, ih 7 A o s ug o s p rt n n o t r ti ge whc o a src uei a r k tu t r s t i : s a s ia p rino a c s oyn re( ) . pn l ot o f c e s r ev C b ca il ot no a c s oyn re . rna p ri f c e s r ev o 3 . uigs reyo s b n iua ga d , o wi y upo e t 8Dr n ug r n u ma db lr ln s h w l o rt c l lba ba c o fca n re a il rn h f a il ev : a ltt ed e fs i o h odb n .i h e p a ca f y i o e f b n resi lt nsu is . ev t a i t de mu o c po e t gi a i e t r s ria f l . rt c i t s t n es ugc li d n e d lt gt ebo dv s es .i i h lo e s l fn 3 . n y fr ra d wno s rt nna dN rpn p r ei 9 E z me o be k o f eo o i n oe ie hi s n
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a C t c o -o-me h l a sea e . ae h l t yt n frs r b Mo o mieo ia e( ) . na n x s C d 4 . n u e o du me a oi i 0 Id c r f rg t b lm s s : a k tc n z l . e o o a oe b p e o abt n ( ) . h n b ri e C o 4 . e in o c rb l m c u e : 1 L s s f ee el o u a ss a fi r o iia in . al e fnt t u i o b rsigte r .et n rmo c r ii . i dt g y d aa i ( ) . tx C a 4 . s e t l mioa i i 2 E s n i a n cd s a : a Gy ie . lcn b gu a t . lt ma e c t rs e . yo i n d p e yaa ie( ) . h n llnn C 4 . lw go n t mo r f h ri i 3 So rwig u u o t yod s : a p pl r . ai y l a b fl ua . ol lr i c c aeo . d n ma 4 . olwigaefa ue o t yodt mo r 4 F l n r e t rs f h ri u u: o a? .? 4 . rmain n c n io o c lnc rio : 5 Pe l a t o dt n f oo acn ma g i a if mma oyp lp .nl a t r oy b h p rlsi p lp . y epa t oy c c h mat ma o s . a ro t u d a e o tu ( ) . d n ma o s C 4 . mo gt efl wigsa e n sa o tp rt ga d whc i 6 A n h ol n t t me t b u ao i ln , ih s o d fl : as e a I h st lb s . t a wo o e b p rt d c ai sf m d e lb . ao i u t r e r d s o epoe c rto n iua v i i rlt dt i ifr r oe . e rma db lr en s ea e o t nei p l s o d? .? e? .? 4 . ihn rel si t ec v ro ss u c vt : 7 Whc ev i n h a en u i s a i e n y a I, .I V I b I, I .V V c V () . IC dI .X 4 . s lso fca e pe s naeal f h fl wige c p : 8 Mu ce f a il x rs i r lo t e ol n x e t o o a obc lr oi . riuai r s s b obc lr o ui . riuai c l s c b c ia o . u cn t r d pa y ma . lt s
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e ? () .?C 4 . a t i s n e b al f h fl wige c p : 9 T se s e s d y lo t e ol n x e t o a fn i r . u gf m o b flom ( ) . ifr C l i c cru elt . i mv l e c a 5 . y a i me rn fr : 0 T mp nc mba e oms a lt rl lo t mp ncc vt .a ea wal f y a i a i y 5 . h ri ga di s r u d db whc fs i: 1 T yod ln s ur n e y ih a ca o a iv sig .n e t n b pe rc e l C . rta h a ( ) c pe et ba . rv re rl d de . ep 5 . z g u v i: 2 A y o s en ? ? 5 . a i a e df s ni 3 F cl t d iu i s i t f o : a e eg d p n e t . n ry e e d n b c re me it d( ) . ar r da e C i 5 . h mo ts nf a tpe o e t lst a o: 4 T e s i ic n rp t n i i h t f g i a a ar . ti a b v n r ls . e ti e c c S n d () . A oe C 5 . e tme h ns fr e ea uels : 5 Bs c a i o t mp rt r o s m a V s n o sr t n . a o c n ti i co b ti t . hr s ? ? ? ? 5 . c t if mma in 6 A u e nl a t : o a ta s d t . rn u a e b e u a e( ) . xd t C 5 . lh - de egcds h rela st : 7 ap a a rn ri i ag e d o c a c ria c lrt n . ado c eea i o b b rrc p o rf x . aoe e t r el e 5 . ihog ng t ls t a rq i do y e a ind r g 8 Whc ra e s e s h n e ur e xg n t o ui n e ecs : x ri e a S ee a mu ce( ) . k lt l s l C b k ny .i e d c si .k n d ban . ri e h at . er
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5 . + ins ce ini i: 9 H o e rt o sn a h p rae a . y ek lmi b a io i ( ) . cd s C s c ak ls . l oi a s 6 . + s ce ini a s ca e wi : 0 H e rt o s s o it d t h a e ce ino bc ro a e . x rt o f iab n t b ra s rino bc ro a e( ) . e b ot o f iab n t C 6 . e ta a dp r h rle ua ino rs i t ni va 1 C n rl n ei ea rg lt p o f e pr i s i: ao aPO .C 2 bP2 .O cp .H dC . O 6 . f h r nc met e re c d p rme twi p l r T e 2 A i ema a s o meg n y e at n t al . h h o mo tpo a l c u efr hsi s rb be a s o t i s : a Dp yo o him ( ) . ih lb t r u C 6 . la rs c inla st : 3 I le e t e o ed o a Ice s di na s rt n . n ra e r o b op i o b D ce s da n a i a s rt n . e ra e mio cd b op i . o 6 . lo t rn po u t ni si lt dva 4 Ad seo e rd c i s t a e i: o mu a H atfi r . e r al e u b D ce s dp r s no k n y . e ra e ef i f i e uo d c R nn( ) . ei C d Ice s dN . n ra e a 6 . n t e u eo t yodh r n i 5 A o h r s f h ri omo e s : a Weg tls . ih o s b A p te . p ei t c H ils . aro s d? .? e? .? 6. nbl hr n i 6 A a oi omo e s c : a Is l ( ) . n ui C n b Gu a o . lc g n 6 . d l P lc si Ds a ei 7 A ut oy y t i s s c e : a A t s ma rc s ie . u o o le e s v b X l k drc s ie . -i e e es n v c A t s ma d mia t( ) . uo o l o n n C d X l k dd mia t . i e o nn n e Mi c o da . t h n il o 6 . y h t s p l o o ayi 8 L mp a i u py f v r s c : a It ra i clmp n d s . n en ll y h o e i a b e t ra i clmp n d s . xen ll y h o e i a
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c d e ig ia . e p n un l d lmb rp ra ri ( ) .u a/ aa ot C c e s ca . a rl 6 . e a to mulr nfc o i 9 R mn n f l i a t rs ea : a D c o g rn r . u t f at e b R u dl a n . o n i me t g c A p n i o t si ( ) . p e dx f e t C s 7 . u ec lu uc r a whc t p o e g s 0 T b ruo s le h s ih y e f d e : a E et d . v re b P n h do t . uce u c Siig . ln d d U d r n d( ) . n emie C e Ee a e . lv t d 7 . e eeifc ini ap s-rn pa tp t n i d et : 1 S v r ne t o n o tta s ln a i t s u o e a If e z vrs . nl n a i u u b S rp o o c s . te t c c u c S a h lc c u . t p yo o c s d C t me ao i s( ) . y o g lvr C u 7 . t i 1 h usa u eta s ln rjc ini d et : 2 Wi n 0 o r c t rn pa t ee t h o s u o aTp I . ye b A t o y me it d( ) . n i d - da e C b cTp I . ye I I d C ttx Tc l . yoo i c el s eTp V . ye 7 . olwigi tu a o tMA : 3 F l n s re b u o I a Wie pe drs t n t T du s . d s ra e i a t o B rg s b O l c u e ln ds a e . ny a s s u g i s e c V r c mmo . ey o n 7 . olwigi tu a o tcy t rhds 4 F l n s re b u rp oc ii o m: a F i r o d s e to t si f m a d me it s rt l a . . al e f e c n f e t r u s o b o n n o co a s c 7 . eiio o B h vo r ce c si 5 D f t n f e a iu s in e s ni : a S in icsu yo h ma b h vo r . ce t i t d f u n e a iu f b S in icsu yiv lige ie oo y bo t t t s e hc , . ce t i t d n ovn pd milg , isa i i , t is f sc p y h lg , o ilg . C s c oo y s coo y ( ) 7 . o dc mmu ia ins i aei ap ro wh : 6Go o nc t o kl r n l s es n o a Wh d e pe e t t n ( ) . o o s rs n a i s C o 7 . E fn t ni 7 R R u ci s o : a Po ens n h s ( ) . rt i y t e i C s b Ta s r t n . rn ci i po c P s-rn lt n l df a in . o tta s i a mo ic t ao i o
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7 . olwigi tu a o ts ro r: 8 F l n s re b u ac mee o a I fr db t e t it raa e ds s . s ome e we n wo n ec lt d i c b I fr db t e t Z ds s( ) . s ome e we n wo - i c C 7 . acu i rla e it mu ce va 9 C lim s ee s d n o s ls i: a Mi c o din . t hnr o o b RR .E c S ro ls crt uu ( ) . ac pa mi e i lm C c 8 . y h t n d lsaen tpe e ti: 0 L mp a i o ue r o rs n n c a T y s( ) . h mu C b S le . pe n c P y r p th s . e es a c e d T ni . o ss l 8 . nP e t oa fl wigh p e s 1 I n mo h rx ol n a p n : o a L n c l p e a dc e te p n s . u g ol s s n h s x a d a b L n c l p e a dc e tida ( ) . u g ol s s n h s n rws C a c L n e p n sa dc e te p n s . u g xa d n h s xa d d ln e p n sa dc e tida .u g x a d n h s n rws e ln e p n sa dc e trman s me .u g x a d n h s e is a 8 . a cn o B cl s C l te G ei i whc t p o v c ie 2 V c ie f a i - ame t - u r s ih y e f a cn : l u n a F r l ekldT x i v c ie . omai i n l e o od a cn b H a kldog ns . et i l e ra i m c L ea t n a e ( ) . i te u t d C v 8 . a cn o B cl s C l te G ei id c swhc t p o 3 V c ie f a i - ame t - u r n u e l u n ih y e f i mmu i : nt y a A t e( ) . ci C v b S c n ayi . e o d r mmu i nt y c P s ie . as v 8 . iho ei tu a o tc rn b c eim dp t ei: 4 Whc n s re b u oy e a t r u ih h r a a Po u e p wefl x t x ( ) . rd c s o r e o o i C u n b Po u e p wefl n o o i . rd c s o r e d t x u n 8 . h mo tc mmo c u eo p e mo i i 6mo t st 2y as 5Te s o n a s f n u na n nh o er a ego pi g ru s : a N i ei . es r s a b S rp o o c p e mo i . te t c c s n u na cECl . . oi d H e p i sif e z . a mo hl nl n a u u e S rp o o c p o e e . te t c c u y g n s 8 . s u ome rn u c li i c u e b : 6 Pe d mba o s ois s a s d y t a Co tiim t t n . lsr u e a i d b Co tiim b t l u . lsr u o ui m d n c Co tiim p r ig n . lsr u efn e s d r d Co tiim dfcl . lsr u iii d f e
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8 . lsr im p r ig n c u e ijr vafl wigme h ns 7 Co ti u efn e s a s s nuy i ol n d r o cai m: a f erdc l . r a ias e b h p x () . y oi C a c Iv s n .n ai o 8 . es ei b s da n s dmo te syva 8 N i r e t ig o e s a s a i i: l a G a san( ) . rm t i C bClr . ut e u 8 . c lr p ct c nb c u e b : 9 O ua o a i a e a s d y y a E h mb t l . ta uo 9 . y a i ds a ec u e d et ig sino: 0 H d t i s a sd u o n et d e o f aCs . yt b E g () . gs C 9 . a in i h vn MC = 8 MC = 8 i i 1 P t t s a ig e V 7 , H 2 ,t s : a N r c rmi n r c t a e a . omo ho c omo y i n mi c b N r ho cmirc t . omc rmi co y i c c h p c rmi mirc t . y o ho c co y i c d h p c rmi n r c rmi . y o ho c omo ho c 9 . a in i v min :p = 72 , C 2 4 ( 5 4 ) H O = 5 2 P t ts o t g h e i .5 P O = 5 3 = 5 , C 3 3 . C u ei as s : a me a oi a io i . t b l cd s c s b me a oi ak ls . tb l l o i c a s c p ril c mp n a e me a oi ak ls . at l o e s t d t b l l o i ay c a s 9 . s c mmo c u eo D e V n u T rmb s i 3 Mo t o n a s f e p e o s ho o i s s : a C n rc p iepl . o ta e t v i l s b T a ma . ru c S rey . ug r dI . mmo i y( ) bl C i t 9 . s c mmo c u eo h s i l c urdp u mo i i 4 Mo t o n a s f o pt a q i a e n e na s : a S rp o o c s . te t c c u b Pe ccu . n mo o c s c P e d mo a ( ) . su o n s C 9 . olwigi a i ot n c mp n n o C u t r urn 5 F l n s n mp ra t o o e t f o n e c r t o e e c a g me h ns xh n e c a i m: a V s rc a( ) . aa e t C b Po i l u ue . rx ma t b l c Dsa t b l . i l u ue t 9 . u mu o sga d aepe e ti: 6 S b c u ln s r rs n n a So c . t ma h b D d n m () . ueu C
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c Ie .l m u d L reit n t e . ag n e si n 9 . a in i h vn b n p is P 4i d ce s d C + i ri d 7 P t t s a ig o e an , O s e ra e , a + s as , e e mo tpo a l c u ei s rb be a s s : a P g t ds a e . a es i s e b O t o oo i . se p rs s c O to e i . se p na d H p raa hods ( ) . y ep rt rii C m 9 . act nnwok b : 8 C li i o rs y a Ice s gb n rs rt n . n ra i o e e op i . n o b D ce s gb n rs rt n( ) . e ra i o e e op i C n o 9 . reh r p rdt g n t p i 9 T u ema ho i e o y e s e : aX . Y bX . 0 c X Y( ) . X C 1 0 T so t rn i po u e b : 0 . e t seo e s rd c d y a S roi el ( ) . et lc l C s b Ly i c l . e dg el s 1 1 T ev s ua ueo k n yi 0 . h a c lt r f i e s d : a A frn - go rls- efrn - v s rc a . f e t > lmeuu > f e t > a a e t e e Ao g t t e et eeweefw q e t n a o tpe l n n ln wi h s h r h r e u si s b u rmai a t o g c n io so mo t a daq e t na o twhc i c r c a o t o dt n f u h n i u si b u o ih s or t b u e c oe t a o . h r wa aMua MC a o tpec at h lse t ma T ee s rd Q b u i h r.
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Saturday, September 12, 2009

RADIOLOGY JANUARY 2009.


S et ejn p p r b lw t eJ n ayp p r. e h u e a es eo h a u r a es

By 'Bolanian'. Correct answers are marked >> * << 1 Mo ti . te sh r n . s mp srs omo e AT* CH E ie hie pn p r n N rpn p r e oe ie hi n G o hh r n rwt omo e 2 wa i n ti rlt nwi r h k n y . t s o n ea i o t i ti e h g d d c n igc ln e e dn oo * a c n igc ln s e dn oo doeu udnm s le pe n
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IE g 1 . n a dp s s ia at r sai f m 2 a t n o t pn l rei r e r e s o v re rl reygv sa t r r pn lPC gv sp s. pn l et ba at r ie n ei s ia, I A ie o t S ia* o It ra c rt n en l ao i d V re rl reya da tc rb l r rey et ba at r n n ee el at r a

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1 . e r h v n r lsfldwi bo d 4 Wh n t e e ti e i c l e t lo h Da t s * isa i s A r l y tl ti s soe a R pdi f w ai n l o 1 . b yh db h vo po lm,o so me r b trs le. e 5 A o a e a ir rbe ls f moy u e ov . h i a rs iei hsmo d wh r i d ma e s ge s v n i o , ee s a g Ma mmi r b de l y o is l o f n a lb * r t lo e o t mp rlo e e oa lb p r a lb ai lo e t o cpt lo e c ii lb a 1 . n w b r pe e t dwi o src ieju dc , , g l 6 a e on rs n e t b tu t h v a n ie, , al , ba d ro k o i U s c u e ld e lo s k n /, a s A rs o C D te i f B * a A rs o e t ee tah p t a p rt s te i f n i xr e a i p aa u a r c A rs o h p t d c te i f e a i u t a c C oe o h l y t h ld c a c s 1 . ma wi n t e we k e so lf s eo t eb d , 7A n t o i d a n s fet i f h o y h c d h p t nao t elf l , es n st lf s e wh r i t e y o o i f h et i h wa g o et i , ee s h mb d ls n ei o C rba h mi h r ee rl e s ee p L f c rb l m * et ee el u sp r r p d n l u ei c u u ce o R dn u lu e e ce s 1 . de ac ria is f a c c u e 8 a rn lot ln ui n y a s s c c h p kl a y o ei mi h p n te s y o a rmi h p gy e a y o lc mi* ak ls l oi a s 1 . nrsigsa ea t i a t c e t 9 I et n t g c i s ta h d o n to o o i rp my cn to o i rp nn ti in t my s oi n

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2 .f h r i d ma et s it n re s p l t t ed ru o 0 it ee s a g o ca i ev , u py o h os m f c fo i b o ts y s p e o sn re e h n u ev * S rl ev ua n re C mmo p rn a o n eo e l D e p rn a e p eo e l 2 . a in wi dfc l i sa dn f m s t gp sin. 1 p t t t iiut n t n ig r e h f y o ii ot .. tn o . Gu e sMa i m* lt u x mu Gu e sme is lt u du T n o fs i lt e s r a ca a a Q a r e fmoi u di p e r c s 2 . ti n ti rlt nwi lf rc r n n re 2 wa s o n ea i o t et e ur t ev h e SC V* A c o a ra rh f ot L at r u u i rei s m g o Ta h a rc e Eo h g s sp a u 2 . t c uec mpe s gE o h g s 3 su t r o rs i s p a u n L f bo c u ( orc ) et rn h s c r t e L f V n il et e t e c Rg tA r m ih ti u Rg tv n r l ih e ti e c Ty s h mu 2 . s p a u c n tit na 4 E o h g s o sr i t co A ri ac * ot rh c L f v nr l et e ti e c R ar m t ti u 2 . tv i rnwi P s.n ev n r l at r 5 wa en u t o t it re ti e rey h c ge tc ricv i ra ada en midec ric* d l ada s lc ric mal ada 2 . tiec n e s ra t lbamaoeva 6 ur n a c r pe d o a i jr i R u dl a n * o n i me t g u rs ca l a n to a rli me t g 2 . a ai v i . 7 B s l en c dani a i r v n ri n xl y e * l a rn o rda s e u s n a il i d sat f m p l r ufc t rs r o ama s r e a

2 . da n re 8 me in ev s p l lt rl lmbias u py a ea 2 u r l c * c u e wr tdo a s s i rp s 2 .nuyo n c o t eh meu , ev d ma e 9 ijr f e k f h u rs n re a g A i r n re xl y ev * l a Mu c lc t n o s s uo u a e u R da a il Un r la 3 . ti i po i la e o c ra b n , re 0 wa s n rx ma ly r f ap l o e tu S a h i,u a etiu rl ps om* c p od ln t r ta & ifr q i
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3 . rn o umo ays g n wa i tu 1 bo c p l n r e me t t s re a a o c lfc in l u i o t eln * n t mia, u t a n nt f h u g o c n an lb r rn h s o t is o a bo c u p l n r v isrni it re me t l i u umo ay en u n n es g n a t s e s

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3 . e h n u n rewa i tu 3 s p e o s ev t s re danit fmoa 35 m ifr r lt rl op bct b rl* ri n o e rl .c nei n a ea t u i u ece o h so l 1tiu ay a ny r t r b c n e t dt s ots h n u b p r rt r o n c e o h r p e o s y ef a os o

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3 . ig o t t s fr tp o o u si 6 da n si e t o srt c c s s c A Ote S ir t Bo dc l r* lo ut e u U ieD r n r

3 . 5 o N a dwa e ra s re f m 7 6% f a n t r e b ob d r o PT C* DT C L o o H ne op f el C l c igd c ol t e n ut 3 .nuyt hp o a u 8 ijr o ip c mp s Me r ls * moy o s 4 . Ey ho oe i i s ce e f m 0 .rt rp it s e rt d r n o Y l w marw el o r o Ma uad n a cl es Pet b ar a i r s ri u lc pl i * u l e a PT C 4 . da p r o be s s p l whc n d 1 me il at f ra t u py ih o e it ra t oa i* n en l h rcc lt rl r a ea gp a tgp n r
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me il r da gp 4 . ip aa c n rc inc u e 2 da h rm o ta t o as ice s i t oa i pe s r n ra e n h rcc rs ue ice s i t oa i da t r n ra e n h rcc ime e 4 . h rccd c 3 t oa i u t p s e wi a ra* a s s t ot h

4 . y a h t s p l b ap arc p os 4 s p t e i u py y lh e e t r c dlt r u i r mu s l o e e i o p pl y s ce f y * a a bo h c n tit n rc o o sr i co c ria c lrt n ado c eea i o

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4 . b yh se e d et po inls o 35 i uie. wa i 7 A o a d ma u o rt e o s f .g n r . , t s n . t ec u eo e e h a s f d ma Pa mac l i pe s r i d ce s d ls ol d rs ue s e ra e * o Ice s h do t t pe s r n ra e y rsa i rs ue c Ice s dc pl r p r a i y n ra e a i y eme bl l a i t

4 . ti n ts p l db it ra t oa i at r 8 wa s o u pi y n en l h rcc rey e Ifr r ot no rc u mu ce nei p ri f e t s s l* o o A ta dwal p ou i u n b lu t mbl s i c P r adu ei rim c Ty s h mu

4 . a in G a ia4wi a e aa do c l bo di so l 9 P t t rvd e t n mi n c ut lo n t o h I nd f in ya e a* r o ei e c n mi c Sd rba t a e a ieo lsi n mi c T aa s mi h ls e a Me ao lsi a e a g lba t n mi c 5 .rna s r i 0i o b ob n fr o fr er s om* u o aa e x lt

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5 . rc e satf m . ti tu 2 Ta h a tr r o wa s re C* 6 C 4 C 5 C iodc ri g r i ata e c l 5 . ti tu a tC F 3 wa s re b S s ce e a rt o 5 0ml a * e rt d t a e f 0 / y d c oodvl aes e b n k de e h ri i r e n y a e y l i a u d c ta s t C Ff m 4 hv n r l t s ie q e u t rn mi S r s o t e ti e o pn c

5 . lo s p l t B n l o Hs 4 bo d u py o u de f i . Cru lxat r ab. fetc rn r at r i mf c e rey r O lf oo ay rey P seirn ev n r ua at r o t r it re ti lr rey o c ManL f c rn r at r i et oo ay rey Manr h c rn r at r i i t oo ay rey g 5 . t sa i c rio la tc mmo s e 5 me a t t acn ma e s o c n i t ban ri ln ug le i r v s le ( orc ) pe n c r t e 5 . rmo o ae , ihat r s p l s 6 pe t r ra whc rey u pi e A t r r n midec rba ( orc ) n ei a d d l ee rl c r t o e A tr r n ei o Mide dl Midea dp s. ee rl d l n o t C rba A t r r n p t C rba n ei a d s. ee rl o 5 . reil u pyt pi r vs a ae 7 at r s p l o r y i l ra a ma u PA C* AA C MC A PC IA 5 . b yd fc t js at r et k sme lwa t erf x 8 A o ee a e u t fe h a e a, t h el e g g rg sr rf x a to a ti el c e g sr c i rf x( orc ) a to oc el c r t e e

5 . da o 2 ,02 ,53 ,03 ,0 9 Me in f 02 ,52 ,03 .54 2 5 2 0 2 .* 75 3 0 6 . ev s p l t lt mu d ri 0 n re u py o a i s os s t oa o os l h rc d ra* s b c p lr u s a ua ln t oa i o g h rcc 6 . ih bo c u a c mp r t lf 1 Rg t rn h s s o ae o et i ln e so g r a tt p l rey n o u at r r h bo c u i moev ria t a lf* i t rn h s s r et l h n et g c 6 . s re nddasu yo p t n swi h a r is 2 A ug o i t d n a i t t e mor d e h o
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h icu e 1 0p i gp a dte t dt e s rial e n ld d 0 t n rA n ra e h m ugc l whl e tt eo h r 0 p o hg f e de ik p h t e 1 0 t n ih i r it b h it riwdt e at r 2 n a dfu dt a t egpwi e n eve h m fe 1 mo s n o n h t h r t h s ria te t n h dab te rs o s wa t p o su yi ugc l ra me t a etr e p n e t y e f td s ti hs ? C s c n rl a e o to C hr o ot Po p c ie rs e t v R n o z dc n rl r l a d mi e o to ti a 6 . o t r a in rlt n a dh w g o ad c o i k o b 3 D c o p t t ea i s n o o d e o o t rs n wn y hsd ge s i e re hsrc rs i e od hspe s n b h vo a db ds ema n r* i la a t e a ir n e i d n es 6 .f p t n d v lp aft l i a ei i b s t 4 ia a i t e eo s a a ds s t s e t o e e hd i f m hm ie t r o i t li t hm a dhsfmi a s o a p s il* elt o i n i a l s o n s o s e y b 6 .e e it t s i d n fr 5B n dc s e t s o e o bo ds g r lo u a uiaygu o e r r lc s n uiayrd cn s g r* r r e u ig u as n 6 .u p rt yodga d 6s p aa h ri ln i rlt dt s pt yodat y s ea e o u h ri re * l so tiet epe rc e la ca i us e d h rta h a fs ie l sa t rlta t t yod i n eoa rl o h ri e 6 . C c mpe i 7MH o lx s rlt dt H A t pn * ea e o L y ig bo dgpa t e s lo r n i n g s mei ie t a t n a n d n i l wis c 6 . i tp r o a i r at r e d a 8 fs at f xl y rey n s t r l a b re o p c oai mao od r f e t rl s jr b re o p cmio * od r f e nr b re o t rsmao od r f ee jr 6 .s p a u i rlt dt whc src uewh s dlt t nc n 9E o h g s s ea e o ih tu t r o e i ai a a o c u ed s h ga a s yp a i l tim* ar u lf v n et e t SC V R ar m t ti u 7 . f C i o cu e dsa t t eoii o r h magn l rey 0 I R A s c ld d i l o h r n f i t ria at r t g g whc p r o t eh atwi b afc e mo t ih at f h e r l e f t d s? l e R ar m t ti u S nd A oe A nd* V oe A e o t eh at px fh er 7 . lia ino t ebanwa i mo tia po r t ? 1 Myen t o f h ri t s s n p rpi e a S at a brh t rs t i t O c r h p az dy c us a h ra l S n oyn uo aemy l a e fs e s r e rs r ei t d i t n r O c r b oio e do l c t s c us y l d n rgi y e g o
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7 . p t n wi mut l f c ue a dB 9 / 0p l 6 / n 2 A ai t t e h lpe r t rs n P 0 6 us 0 mi i a e wa i t emo ta po r t iia te t n ? ts h s p rpi e nt l ra me t a i I f is V ld * u R d c ino f c ue eut o s r t rs a

7 . a t r d f ti t ea po r t te t n ? 3 F c o 9 e wa s h p rpi e ra me t a Cy p t ro p * FP F Wh l bo d oe lo WB C

7 . I mo tia po r t 4 DC s n p rpi e a lw F P o D* c n u t ec a uo a h o s mp i o g lp t y v te t dwi h p r ra e t e ai h n lw pa ee s o lt lt 7 . lifl r s n rme 5 Kenet s y do e c rmo o l eiin y ho s ma d f e c c a t s ma d mia t uo o l o n n a t s ma rc s ie u o o le e s v e taX c rmo o * xr ho s me e taY c rmo o xr ho s me 7 . a e oi mo tu ley 6 F t mb lm s s ni l k uiayt s i da n si* r r e t s ig o t n c o c r d et ta mat ftyt s e c us u o ru o at i u s s c u e b a u ep n ra is a s d t c t a ce t i t 7 . ih s mot lyrt 7 Hg e t rai a e t H p tiA e a is t H p tiB e a is t H p tiC e a is t H p tiD e a is t H p tiE e a is t 7 . ih h r i ta s te b 8 Dp t ei s rn mi d y a t s x a c na t e u l o tc rs i t r * e pr oy a fc oa e o rl

7 . ihog nh sla tc a c o me a t s 9whc ra a e s h n e f t sa i s ln ug bn oe le i r v k ny i e d s le * pe n 8 . ihog ns c u e me igt s c n ayt p o e i ln 0 whc ra i m a s s nn is e o d r o y g nc u g i a ses b c s?


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S rp te Sa h tp Peoocs nuccu hif e z e . l na nu 8 . ho o mb lm i mo tc mmo i? 1 t rmb e oi s s o s nn lg e* le i r v ban ri k ny i e d 8 . C ice s t er ko 2 O P n ra e h i f s be s c n e ra t a c r e d me r l a c r n o ti c n e a t rmb e oi ho o mb lm* s o t o oo i se p rs s 8 . se p rs i ls i pe n p u a wo nd et efc o 3 O t o oo i s e s n rme o a s l me u o f t f s e e to e * srg n t so t rn e t seo e po e t rn rg seo e a do e s n rg n 8 . ta map t n i s o kwi sa wo n ao glf 1 t r 4 A ru ai tn h c e t t b u d ln et 0 h i h b whc og ni d ma e ? ih ra s a g d Le i r v S le * pe n C ln oo D oeu udnm 8 .na t s ma rc s ieds a e 5 i u o o le e s v i s e al il g aeafc e ls i s r f t d bn e b t p rn saeafc e o h ae t r f t d e o l mo h rsafc e ny t e i f t d e al il g h v ac a c o o eit fu o c n rc igt e ls i s a e bn h n e f n n o o r f o ta t n h ds a e i s* e 8 . iho t e ei n tc u e b b c ei 6whc f h s s o a s d y a t r a hso ls s * i pa mo i t s 8 . s leyf dn i C F 7 Mo t i l i ig n S k n icgu o ei fn a me igt n lc s n u g l nn is i d cgu o ei vrl nn is e lc s n i me igt a i lmp o y o i i a e t me igt y h c ts n s pi s c nn is i d cgu o ei p o e i me igt e lc s n y g nc nn is i 8 . s i fr u dc n rc in 8 mo t mp o wo n o ta t o my ba t o lss f rba t i o lss b my f rba t* oi o lss b e i eim pt l h u c lg n ol e a 8 . mo t mu ce ae 9 s o h s ls r sr t d ti e a v ln ay ou t r mo t arn e i crua a dln i dn la es* sl r g d n i lr n o gt ia ly r y a c u
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9 . y ep rt yods c u e la tley 0 h p raa h rii m a sse s i l k h p re s n y et n i o d srp i c lic t n y to hc acf a i * i o icP H n T

9 . u t sd frn e d it 1 D c u eee s n s n o Po t t rsa e uBa d r .ld e S v s ls .e i e c Po t t ue ha rsa i rt r c Ea ua oyd c * jc lt r u t 9 . b u lreg t 2 A o t ag u d s e dn c lnh sn h u ta e c n ig oo a o a sr a p n i h sn t na p e dx a o e i* alag g ti s p l db if s n ei at r llre u s u pi y n me e t r rey e c a c n igc lnh same e ty s e dn oo a s nr 9 . s po a l a tg lba d r 3 mo t rb be b al ld e. H st iks b c u a a hc u mu o s Mu o s h se t n iefls c u a a xe s v od * 9 . p t n wi k o H V ifc i c me wi 4 a a i t t n wn B ne t o s t e h o h H S g+ H ea + H V D A + H C I M a + BA B b B N B G b Wa i t eda n s ? t s h ig o i s A u eds* ct i C rncc re ho i ar r i C rnca t e ho i c i v 9 . ihH p t ype e t wi ci s 5 Whc B a h rs n s t r e h s s k c ltat i l el ri ce s k c lds a e i l el i s * ce e t aa s mi h ls e a H C b 9 . n o jg t dbl i c re b whc po en 6 u c nu a e i s ar d y ih rt i? e i Ab mi * lu n Peab mi r lu n A go ui lb l n Bgo ui lb l n Fbio e ir g n n 9 . fe g src o p t n wi d v lp 7A t r a te t my a i t l e eo e l i nd f n mi r o e ae a me ao lsi a e ad et fl a i d f g lba t n mi u o oi cd e c c p riiu a e a enco s n mi* s eo lsi a e a i rba t n mi d c

9 . 0y maewi lmp a d n p t ya dlw h lw pa ee s 8 6 r l t y h n e o a h n o b o lt lt h a dice s dwb n n ra e c mirs o ys o lrema uec l wa st eda n s ? co c p h w ag t r el s t h ig o i s CL L*


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B ri s uk t t F l ua ol lr i c NL H

9 . a I tu a tH 9 wh t s re b b c n it o ap aa dg mmac an i a ut o s i f lh n a ss h is n d l s i b f r f +* mp uf o H e n ta s cwi C 2ta s ot o so t O rn p r h 1 0P G i s ce e f m whc p r o pa ee s 0 .D F s e rt d r o ih at f lt lt ap aga ue lh rn ls d n eb de e s o is c t pa m y o ls ls s me yoo s 1 1 whc c l po u ea t o is 0 . ih el rd c n i de s b pa mac l* ls el s Tc l el s B el cl s Pa ee s lt lt 1 2 H p r i rla e f m whc c l. 0 . e ai s ee s d r n o ih el s Ma tc l* s el s E s o hl oi p i n s IE g 1 3 E i eodc l i ga uo saefr db whc c l 0 . pt li el n rn lma r ome y ih el h s s ma rp a e co h g s lmp o y e y h c ts ln eh n c l* a g ra s el s 1 4 t yodi iv se i whc fs i? 0 . h ri s n e t d n ih a ca Pe rc e l rta h a* D e c ria e p evc l Pe et ba rv re rl 1 5 wa i tu a tt yod 0 . t s re b h ri c n i so c l c igd c sa da ii o s t f ol t s e n u t n cn e i h n e s a ea c rigt sa eo a t i . p c a g s h p c odn o t t f c i t * vy H sp rh risa tt i a at yod n o t 1 6 wa i tu a tpt i r 0 . t s re b i t y ua a tpt t r d r e f m n uo s n i i y ei d r ua v o e rn n p ra v s esb w h p t aa sa dp s pt i r* o ot l e s l t y o h lmu n o t i t y ua

1 7 S t t c n e i lc t di whc p r o h p t aa s 0 . a i y e t rs o a e n ih at f y o h lmu e a t rlt rl n eoa ea VL P V L Me il da* 1 8 D & C a 1 d y at r MPe d me r m wi s o whc 0. t 8 a s fe L n o ti u l hw l ih sa eo u eiec ce tg f tr n y l? F l ua ol lr i c O ua oy v lt r


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S ce oy e rt r* Poi rt e rlea i f v 1 9 a t ee do pe n n yu eu i mo ts n iv t whc 0 . t h n f rg a c t rs s s e s ie o ih t hr n? omo e E to e srg n Po e t rn rg seo e Poa t rlc i n O y o i* x t cn 1 0 Mo ta u d n p a o y i c l i crua in 1 . s b n a t h g c t el n i lt c s c o b sp i a o hl s mo o y e n c ts ma rp a e co h g s n u rp i* e to hl s 1 1 I F& E Fdf rn 1 .C C ie i f icK i I F n +nC

1 2 mo tp t n si lsfr ee s o ad seo ei 1 . s o e t t u o rla e f lo t rn s mu icK * n + icN + n a icgu o e n lc s 1 3 P l gai d et d f f 1 . al r s u o e o e r olvn i f i b a t imie ha n na i * icn vtC i 1 4 T a mat t emideme ig a at yc u e 1 . ru o h dl nn e l re a s s s b ua h mora e u d rl e r g h e iua h mora e pd rl e r g * h SH A 1 5 p t n wi ls o f et u hpo r c p ina dvba in 1 . a i t t o s f i o c rpi e t e h n o o n irt o ijr t whc p r o s ia c r? nuy o ih at f pn l od F s uu ga i a i ls rcl c i s F s uu c n a u a i ls u e t s c P s wht c lmn o t i ou * e L t rl i c lmn a ea wht ou e 1 6 i fmae whc src uel sb w ue e a dp r o e m 1 .n e ls ih tu t r i t rt r n ei n u e t u eieat r* tr n rey if e il at r n v s e rey c

1 7 whc o t e emu ce i ap r o t ep li da ha m 1 . ih f h s s ls s at f h evc ip rg d e ta s es p r e e p rn v re ei i n p b rc ai u oe t l* s b lo p n is s ub s o go u i h o a en s s s e c v ro u c

1 8 wa i n ttu a ta rn l ln 1 . t s o re b de a ga d ft l ln i 1 3s eo t ea utga d e a ga d s / i f h d l ln z
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i i iv se b rn la ca t s n e t d y e a fs i a rn l ot xi d r e f m me o em de a c re s ei d r v o sd r 1 9 whc src uei mo ta ti p pi a fs a 1 . ih tu t r s s n n o le lo s t p pi a v i o le l en t p le l re * oi a at y t t al ev i in re b bc pfmoi ie e r s g src e u a to n me s 1 0t n o o whc o t e emu ce i ita a s lr 2 .e d n f ih f h s s ls s n rc p ua bc pfmoi ie e r s pa t r ln ai s p pi u * o le s t s mi n io u e t dn s s e 1 1 whc o t e eaet emao rs t n ev s es 2 . ih f h s r h jr e i a c e s l s at r s rei e v is en c pl r s ai i l e a at r ls rei e * o v n ls e ue 1 2 p t n ls e 1lr o b d fu i 1h u wa wi h p e 2 . ai to s s ie f o y ld n e t i or t l apn l fs it r icP n R icB n P icv n s a m* n eo ps 1 3 ap ro i aro wi o t m e vome t l o dt n h w 2 . es n n o m t p i h mu n ir n a c n io s o i wi t eh a ls o c r l h e to s c u l cnet n o v ci s o s a ig we t n be t ig ra hn rda ina dc n u t n a it o n o d ci * o v iig odn

1 4 mao p r o e eg u i e d r gbe t igi t o ec me 2 . jr at f n ry ti d ui ra hn s o v ro l z n ea t rc io ln s lsi e ol fu g * c rs t n eo c e twal ei a c f h s s l lrear yrs t n e ag i wa e i a c s s lar yrs t n e mal i wa e i a c s 1 5 ab l tpec st eit ro t l s a ewhc ly r li 2 . ul ire h n ec sas p c e ih a e wi t l c meat r h it ro t l mu ce o fe t e n ec sas s ls p r t l lua ai a pe r e vs ea pe r i rl lua c e d t oa i fs i* n o h rcc a ca pe rl a i lua c vt y 1 6 whc v s e wi b d ma e it ep rncn rei c t 2 . ih e s l l e a g d f h he i ev s u l mu c lp rnc s uo he i itt oa i n h rcc p r a ip rnc ei do he i* c
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1 7 whc o t e ei n taba c o it ra i c 2 . ih f h s s o rn h fn en ll i a s prc a* u e tl miderc a d l e tl if e il n vs e c s pv s l u e ie c 1 8 lmp a i o u eu d n tdanit 2 .y h t f t rs o o ri n o c iti cn d s n l i oe a e ti cn d s x l i oe a s pign d s u n oe if s n ei n d s n me e t r o e * c 1 9 ap t n wi h as n s a dlrn e l o uewhc i mo t 2 . a i t t o re e s n ya g a n d l e h ih s s u ley ni l k a rp y* to h ndl o ue h p rrp y y eto h h p rls y epa i a 1 0 p e d h p p rt yods 3 . s u o y o aa h rii m. D et icc u on a D cvtD e i P HP Tr 1 1 wa i s e i d s ls 3 . t s e n n y pa i a pe mop i lo rhs m icN rt * n C ai o icmi s n t i os

1 2 me a t t t mosaeie t idb 3 . t sa i u r r d n ie y c f iv s no o h r tu t rs n a i f t e src ue * o pe mop i lo rhs m icN rt n C ai o icmi s n t i os 1 3 s ro sh v 3 . ac ma a e rpdgo h a i rwt icv s uai * n a c lr y t c p ue a sl b ng e in 1 4 e i f s k r ls o 3 . p o a mo e wi h w l iccl t de i n i e p i a mi ueo s s a dp e d srt idc l* x r f t q n s u o ta ie el t f s d cg be c l e o lt el s

1 5 mo tu leya tgo rlsi 3 . s ni l b lmeuu s k h suiays a eb w 2ly r a r r pc t n a es i c ps a e s u hpd i bide d dp r o t b l s l n n e at f u ue


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h ssrt ide i a ta ie p* f h sp d c t s a o o ye 1 6 whc v s e i iv le a ddlt di p ra H N 3 . ih e s ls n ov d n i e n ot l T a p ra v i* ot l en h p t at y e a i re c h p t ve e a i in v S MV 1 7 mo tu a po ri a tl e 3 . s n p rpat b i r e v h sd a bo ds p l a u l lo u py h p t at ygv so l 3 % o O e a i re ie ny 5 c f 2 p ra v i h s7 % O * ot l en a 0 2 1 8 n tp r o t ep ra ta t 3 . o at f h ot l rc p ra v i ot l en h p t at r e a i rey v bl d c i ut e h p t v i* e a i en c 1 9 n tap r o a i r n d s 3. o at f xl y o e l a a tgp n r me il r da gp a ia gp pc l r c n rl r e ta gp d e c ria* e p evc l 1 0 Ca ie t rla ca 4 . lvp c oa fs i c mpe eyc v r p c oai mio* o lt l o es e t rl n r s fr s s e s r l o be s oms u p n oy i f ra t g fr a i r t i oms xl y al l a 1 1 i mae ue r so e mo t ld ea whc p it 4 .n ls rti t n s sl o g t ih on c y js b lw k n y u t eo i e * d a co s go e ti cv s es t rs i f x i n l esl a a p li bi t evc r m a i h a s ie t s e l pn c 1 2 it eei f c ueo t ea e a uu p s a ds p r r 4 .f h r s r t r f h c t b lm o t n u ei l a oy whc b n srn ih o e iv i u a di hu * l m n s im e c i u a dp bs l m n ui e i c im a dp bs s hu n u i s

1 3 mo tc n tit dp r o t emaeue ha 4 . s o sr e at f h c l rt r? E tme t s x au * Ifn iu u na db k m N vc lr o s a iua fs a 1 4 a t elv l f e o dp r o d o e u wa i u ley 4 . t h e e o s c n at f u d n m t s ni l k a raa t er h o S C ot t h i t f V * g lf rn l en et e a v i 1 5 p i o t eo ayi ta s te t t eme il ieo t ih 4 . an f h v r s rn mi d o h t da s d f hg t r whc n re hu ih ev
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fmoa e rl o t rt r b ua o* i ig ia l n un l i o 1 6 lf v n r l d e n tc n an 4 .et e ti e o s o o t i c s pa e tiua ce t u rv n r lr rs c c od et n ia h ra e dn e a ri v siue ot e t l c b p pl r mu ce a i y s ls l a 1 7 e iua s a e 4 . pd rl p c c n an v n u pe u * o t is e o s lx s c n ie it s ul tfrme ma n m o t s n o k la oa n g u u a t c e t d ra c c y ta h d o os l o c x ut S po 2 1 8 O i g n l nl su d r 4 . t a gi i n e c o e frme o ae oa n v l* frme s io u oa n pn s m ma i r n re xl t ev l a syo sodfrme t lma t i oa n

1 9 mideme ie l reye t r t r whc frme ? 4. dl ng a at r n es hu ih oa n F rme s io u oa n pn s m* F rme rt n u oa n o u d m F rme o ae oa n v l 1 0 S p r r e rs l iu l si 5 . u ei p to a s s i n o n e fl c rb r ax ee ei fk c rb l a x ee el i t n oim c rb l* e tr u ee el l i da ha mas l ip rg el a 1 1 G e tc rba v i d e n tdan 5 . ra ee rl en o s o ri d e c rba v i e p ee rl en s pc rba v i u ee rl en b s l en aa v i t aa cv i h lmi en 1 2whc o t e ei n tab s t s eo t eb d 5 . ih f h s s o ai i u f h o y c s ei p n re ev mu ce sl bo d lo C T 1 3 O mo i pe s r d p n so 5 . s t rs ue e e d n c ee tia e uv ln e lc r l q iae c c c n ga in o c rde t yn ep n o p rils o f at e c mo s e li z 1 4 c e rc p osrs o dt 5 . h moe e t r e p n o icP O * n C 2
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d cP 2 e O icP n h ict mp n e 1 5 Po e s sv gn l 5 . rc s u a iai s c v r t si o l* o es e t ny s c v r d c u d frn o es u t s eee s fr e ts ema i fs i oms x p r t a ca c ai sf m p r t l ei n u re r s o ai a p r o e m e t ai sf m vs ea p r o e m re r s o i rl ei n u c t 1 6 D ra rmi f ev ss p l 5 . os la o n re u py e to tu k x f rn e to l s x fi mb

1 7 whc v s e l sa tt I C 5 . ih e s li n o V e lf rn l en et e a v i lf rn l rey et e a at r r h rn l en i teavi g r h rn l rey i t e a at r g r h t siua v i* i t e t lr en g c 1 8 iig ia c n l f fmaei o e e wa d e i c n an 5 .fn un l a a o a e l s p n d t o s t o t i ru dl a n a di ig ia n re o n i me t n l n un l ev g i o

1 9 lmp a i dan g o t si i it 5 .y h t ria e f e t s n o c s p r a ri n d s aa ot o e c s pign d s u n oe iti cn d s n l i oe a e ti cn d s x l i oe a


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