Property:AnswerAExp
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'''Correct'''-This patient has no family history of colorectal cancer and so routine screening for colorectal cancer should begin at the age of 50 years with repeat colonoscopy every 10 years. +
'''Incorrect'''-Starting screening with colonoscopy at the age of 50 years and following up every 10 years will be for the general population without any family history of colorectal cancer. +
'''Incorrect'''-Polyps with non-infiltrating carcinoma should be followed up with a repeat colonoscopy after 1 year. +
'''Incorrect'''-Saturation is normal in this patient and nasal oxygen need not be the next best step in the line of management. +
'''Incorrect'''-Since the patient’s serum potassium has gone below 5.3 mEq/L, potassium should be added to the continuous infusion of intravenous regular insulin and isotonic 0.9% normal saline. +
'''Incorrect''' Aortic regurgitation causes a decrescendo diastolic murmur and presents with shortness of breath and fatigue +
'''Incorrect''' Tightening of valve can be accomplished through valve repair but it is not the best initial treatment. +
'''Incorrect''' Normal electrocardiogram findings and normal levels of cardiac enzymes opposes the diagnosis of myocardial infarction. Both the S4 gallop, and heart failure symptoms strongly suggest cardiomyopathy. +
'''Incorrect''' Angiotensin converting enzyme inhibitors improve mortality in cardiomyopathy. +
'''Incorrect''' ANA is the most sensitive test for Systemic lupus erythematosus, but not the most specific. +
'''Incorrect''' His injury lifting heavy boxes might suggest a musculoskeletal cause, but the presentation of the patient suggests peripheral arterial disease more than any bone related pain. +
'''Incorrect''' We may need Gastrin levels if we are suspecting Zollinger Ellison syndrome but not in this patient. +
'''Incorrect''' Chest X-ray is one of the important initial diagnostic tools in aortic dissection which shows widened mediastinum. However, we suggest pharmacotherapy be initiated before confirming the diagnosis as aortic dissection is an emergency which could be fatal if left untreated too long. +
'''Incorrect''' Electrocardiogram in pericarditis is characterized by ST segment elevation in all the leads. +
'''Incorrect''' Diuretics can be given to decrease the after load, but it is not the definitive treatment. +
'''Incorrect''' Thyroxine is the treatment of choice for hypothyroidism not hyperthyroidism. +
'''Incorrect''' Transesophageal echocardiogram is the most accurate but the best initial test is transthoracic echocardiogram +
Simple excision alone is often considered a first line therapeutic option for patients with hypertrophic scar, but not keloids. +