Property:AnswerCExp
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This is the treatment of choice for aortic dissection, but Pericardiocentesis provides a more rapid and urgent symptomatic relief to this patient. +
'''Correct'''-Endoscopic surveillance every 1 year is recommended for low grade dysplasia in order to monitor the progression of the disease. +
'''Incorrect'''-Neuromuscular junction disease usually presents as muscle weakness that is decremental in nature and descends from the face with bilateral ptosis, dysarthria, etc. to the proximal muscles of the limbs while also involving the respiratory muscles. +
'''Correct'''-Chronic steroid induced myopathy should be considered in patients who begin to have proximal muscle weakness and normal serum creatinine kinase levels without myoglobinuria that occurs within weeks to years following initiation of steroid treatment. +
'''Correct'''- This is a pediatric emergency that necessitate an emergency endotracheal intubation. Preparation for possible tracheostomy is a standard, as the intubation in children could be difficult. +
<font color="red">'''Incorrect.'''</font>- Chest CT is highly sensitive in detecting lung masses, but it is not the first step in the evaluation. It is done as second step after chest Xray. The randomized controlled trials have demonstrated that annual low-dose CT (LDCT) screening in patients with a 30 pack-year history of smoking, including those who quit smoking in the preceding 15 years, demonstrated a decrease in lung cancer and all-cause mortality. +
<font color="red">'''Incorrect.'''</font>'- An immunologic assay to detect the presence of circulating acetylcholine receptor antibodies (AChR-Ab) is the first step in the laboratory confirmation of myasthenia.There are three AChR-Ab assays: binding, blocking, and modulating. The test has high specificity, that is why (AChR-Ab) should be performed on all patients.The binding type antibodies is 80-90% of patients with generalized disease, provides the laboratory confirmation of myasthenia gravis(Ann N Y Acad Sci. 1987;505:526). +
Incorrect. Beta-lactams is not recommended because of the increasing resistance, in addition to their adverse effects and poor efficacy. +
Incorrect
Intravenous penicillin G sodium is the recommended 1st line of therapy according to the American Heart Association guidelines. +
Incorrect
According to AHA recommendations, a combination of gram positive and gram negative antibiotics (intravenous penicillin G sodium+ gentamicin sulfate), should be used in resistant viridans group streptococci. Ceftriaxone does not provide the gram negative selectivity that gentamicin offers. +
Incorrect
There is not any signs of liver functions abnormality in this case, and it is not a diagnostic test for infective endocarditis. +