Property:AnswerCExp
Jump to navigation
Jump to search
W
'''Incorrect'''-Blood transfusion reactions can cause diffuse loss of clot integrity and a sudden diffuse bleeding during an operation may be the only evidence of an intraoperative transfusion reaction. In the postoperative period, transfusion reactions usually present as unexplained fever, apprehension, and headache, which all are difficult to interpret in the early postoperative period. +
'''Incorrect'''-A single dose of vaccine alone is an incomplete prophylaxis that will increase the risk of developing rabies. +
'''Incorrect''' : White blood cell count > 16000/mcL is an indicator of severity at the time of admission and not at 48 hours. +
'''Incorrect''' : If a CT is not available or is not needed for clinical diagnosis, a carefully performed gastroduodenogram using water soluble contrast is likely to detect most macro-leaks. Leakage of water soluble contrast (Gastrografin) is a useful confirmatory. test. +
''' Correct ''' : Hiatal hernia has been found in 40 to 100 percent of patients with Mallory-Weiss tears and has been considered by some to be a necessary predisposing factor as a higher pressure gradient develops in the hernia compared with that in the rest of the stomach during retching, thereby increasing the potential for mucosal laceration. +
'''Correct''' : Age in years > 70 years meets the Ransons prognostic criteria in this patient. +
Griseofulvin is a fungistatic agent that inhibits microtubule polymerization and inhibits mitosis. +
'''Correct'''-The family history of upper respiratory infections, the previous upper respiratory illness in the patient, and the signs of intrathoracic airway obstruction (hyperexpansion of chest and audible wheeze without rales) along with fever and mild tachypnea makes the diagnosis of bronchiolitis more likely. +
Disorientation is common in injury to the hippocampus; but injury to the brainstem with involvement of cranial nerve (CN) VII (facial nerve) to cause Bell's palsy is not as common as hippocampal and cerebellar injuries in ischemic brain injury. +
The patient's syndrome, characterized by dyspnea, JVD, S3 on cardiac auscultation, and pitting edema, is consistent with left and right heart failure. JVD and pitting edema are important signs that implicate the involvement of the right side of the heart. +
Murmur of mitral stenosis is best described as a rumbling late diastolic murmur with opening snap. +
Psoriasis is a silvery scaling papule or plaque that should always be considered in the differential diagnosis of seborrheic dermatitis. It is characterized by increase in the stratum spinosum layer of the skin and a decrease of the stratum granulosum. Psoriasis commonly presents in younger individuals. A positive Auspitz sign, defined as bleeding when scaled are scraped off, is characteristic on physical exam. Psoriasis is not commonly associated with Parkinson's disease. +
Topiramate activates GABA receptors. It is not commonly administered to treat absence seizures, but is effective in treating partial and tonic-clonic generalized seizures. +
NSAIDS are also effective against cluster headache but oxygen therapy is best initiated first. +
Subarachnoid hemorrhage often results from a rupture of a berry aneurysm. Berry aneurysms are frequently associated with three pathologies: Marfan syndrome, Ehler-Danlos syndrome, and adult-dominant polycystic kidney disease (ADPKD). Clinically, patients with subarachnoid hemorrhage complain of a severe, sudden-onset headache. +