Regarding Leptospirosis all are true except
A. It is caused by Gram negative Spirochete
B. Human to human spread via urine is the most common route of infection
C. Leptospira can’t penetrate intact skin
D. Frequency increases in monsoon and after floods
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False regarding history and clinical examination in patient with pallor –
A. History of melena, hematochezia or hematemesis suggests GI loss
B. Vegan diet, total gastrectomy, history of autoimmune disease (vitiligo, hashimotos, graves disease, etc) point to possible folic acid deficiency
C. Sensory neuropathy, angular cheilosis and bald tongue are features of B12 deficiency
D. Icterus, splenomegaly, abdominal pain and dark urine suggest hemolytic anemia.
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