Property:AnswerBExp
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'''Incorrect''' Myoglobin can be used to detect reinfarction but it is less specific than CK-MB +
'''Incorrect''' Heparin is part of the initial treatment of Non ST elevation myocardial infarction after aspirin administration +
Door to needle time for thrombolysis ought to be under 30 minutes but its mortality benefit extends until 12 hours after the onset of pain.The decision of whether to perform thrombolysis or angioplasty depends on whether or not a sufficiently low door to balloon time can be achieved +
'''Incorrect''' tPA is contraindicated as the patient undergone total abdominal hysterectomy within last 2 weeks +
'''Incorrect''' Sinus bradycardia refers to a heart rate less than 60 per minute with regular rhythm on electrocardiogram. +
'''Incorrect''' Thrombolysis is never the treatment option in ST segment depression or Non ST elevation myocardial infarction +
'''Incorrect''' Exercise tolerance testing is performed to assess if the patient’s heart muscle getting enough oxygen in exertion. It does not confer any mortality benefit. +
'''Incorrect''' He can resume sexual activity immediately if he does not have any symptoms now +
The causes of HDP are not well understood; although childhood events and genetics may be involved. +
Friedreich's ataxia (FRDA) is caused by ''FXN'' gene mutation that results in reduced expression of frataxin protein. +
This combination of neurotransmitter disturbances is associated with schizophrenia. Increased dopamine is hypothesized to be the main cause of positive symptoms of schizophrenia. This is further validated by the significant effect of antipsychotics, or dopamine antagonists, on positive symptoms. +
Ramipril is an ACEI that blocks the conversion of angiotensin I to angiotensin II. As such, the concentration of angiotensin I is expected to increase, while the concentration of angiotensin II will decrease with ACEI. +
PCI have been proven superior to IV thrombolytics and are now rarely used unless PCI is not available or arrival to a PCI lab would not be timely. Therefore it would not be the next step in management here. +
VSD is a the most common congenital heart defect. However, it is not directly associated with Potter’s syndrome. +
Adrenal hemorrhage followed by adrenal gland failure is characteristic of Waterhouse-Friderichsen syndrome. Although the syndrome is also commonly due to N. meningitidis, symptoms of adrenal insufficiency would be prevalent, such as abdominal pain, hypotension, hyponatremia, and hyperkalemia. The patient’s general status improvement without additional intervention and urinary findings favor bilateral renal cortical necrosis in this case. +
This is reasonable to do later when her PCP is available, however it is the not immediate step to be taken in such an emergency situation +
Generally, advanced patient age is an important factor in renal function since creatinine clearance normally declines with increasing age. However, age is not the most important factor for prognosis in ATIN. +
''E. coli'' is a a lactose-fermenting gram-negative, catalase-positive rod, which grows on EMB agar and appears as green metallic sheen. Expression of the virulence factor P fimbriae is important in the pathogenesis of acute pyelonephritis and cystitis. +