Property:AnswerBExp
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Mutations in ''COL4A3'' and ''COL4A4'' that result in AS are usually inherited in an autosomal recessive pattern. +
This combination has only 1 NRTI, which is usually not recommended. Darunavir is a protease inhibitor and raltegravir is an integrase inhibitor. +
Dantrolene is the treatment of choice for malignant hyperthermia. It acts by inhibiting excitation-contraction coupling in skeletal muscle by binding to the ryanodine receptor. +
Patients with chronic obstructive lung diseases usually have excess sputum production with Curschmann's spirals often seen on sputum microscopy. +
'''Incorrect'''-By 24 weeks only if there is a significant increase in thyroid cancer size (50 percent in volume and 20 percent in diameter in two dimensions) or in the presence of larger and more aggressive thyroid cancer or in the presence of extensive nodal or distant metastasis, surgery should be performed during the second trimester. However, if the size remains stable or if it is diagnosed in the second half of pregnancy, surgery may be performed after delivery. +
'''Correct'''-The patient suffers form pyogenic sacroiliitis that has complicated into septic shock and DIC. The early phase of septic shock is characterized by vasodilation, resulting in a warm, flushed patient with a normal or elevated cardiac output, decreased peripheral vascular resistance, and normal pulmonary capillary wedge pressure. Fever, agitation, or confusion is often present. +
'''Incorrect'''-Barotrauma is due to the mechanical effects of expansion and contraction of gases when pressure differences exist between the body cavities and the environment. It is a manifestation of compression sickness occurring during descent. +
'''Incorrect'''-In type II vitamin D dependent rickets, there is a mutation of vitamin D receptor. Therefore these patients will have a normal serum level of calcitriol, which are ineffective and leading to rickets. +
'''Incorrect'''-The history and findings are inconsistent with pulmonary hemorrhage which usually presents with abrupt onset of cough, fever, and dyspnea. Anemia and the presence of hemorrhagic fluid during bronchoscopy will support the diagnosis. The chest radiograph may show new patchy or diffuse alveolar infiltrates. +
Verpamil is a non-dihydropyridine calcium channel blocker, a class IV anti-arrhythmic. It has no effect on potassium channels and does not prolong the QT interval. +
Denial is an immature defense mechanism in which the individual refuses to confront an undesirable aspect of reality. Classically, these persons avoid a stressful or anxiety provoking idea or situation by disavowing their very existence. +
Diffuse bilateral renal cortical necrosis is also a type of intrinsic renal injury that would not typically manifest with the lab values shown in the table. Diffuse bilateral renal cortical necrosis is usually an obstetric complication, but it may also occur following trauma or sepsis. +
β2-microglobulin deposition in patients on hemodialysis causes symptoms of entrapment neuropathy, such as carpal tunnel syndrome. +
'''Incorrect''' : HLA B27 high levels at the start of the disease may indicate poor overall prognosis. But it is not used to monitor disease activity. +
Parental consent is not required for the treatment of STI among minors. The physician should not tell her parents if the patient does not wish to. Confidentiality may be broken only with the patient's permission or if the patient may cause self-harm or harm to others, which is not the case in this vignette. +